KATHLEEN JO MONTGOMERY (NPI# 1629200902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629200902 |
| Entity Type | Individual |
| Full Name | KATHLEEN JO MONTGOMERY |
| Credential | CRNP |
| Practice Address |
3620 Court Drive Zanesville OH 43701 |
| Mailing Address |
P. O. Box 1821 Zanesville OH 43702-1821 |
| Practice Telephone | 7404541248 |
| Practice Fax Number | 7404548183 |
| Mailing Telephone | 7404553304 |
| Mailing Fax Number | 7404553686 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2011-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
RN241205 | OH | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | COA.10766-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE | P00914840 | 01 |
| WV | 3810019285 | 05 | |
| OH | 3026988 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518069814 | Kathleen Kennedy Montgomery | Counselor | 400 West Cummings Pk, Suite 3300, Woburn, MA 01801 | 2006-09-05 |
| 1376923516 | Kathleen Weber Montgomery | Pathology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2015-06-03 |
| 1326273541 | Kathleen Ann Montgomery | Physical Therapy Assistant | 1706 E Amber Ln, Urbana, IL 61802-6907 | 2009-05-18 |
| 1194749424 | Kathleen Anne Montgomery | Nurse Practitioner | 34th St. and Civic Center Blvd., Philadelphia, PA 19104 | 2006-07-27 |
| Street Address |
3620 COURT DRIVE |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427566439 | Emily O'brien | Nurse Practitioner | 955 Bethesda Dr Ste D, Zanesville, OH 43701-1873 | 2018-01-12 |
| 1467809160 | Reginna Renee Harris | Nurse Practitioner | 1246 Ashland Ave Ste 107, Zanesville, OH 43701-2861 | 2016-05-23 |
| 1861652208 | Rochelle Rutter | Nurse Practitioner | 2900 Pioneer Cir, Zanesville, OH 43701 | 2008-06-10 |
| 1073603106 | Cynthia Brandfass | Nurse Practitioner | 2531 Maple Ave, Zanesville, OH 43701-1833 | 2006-10-12 |
| 1003915141 | Sandra J Jones | Nurse Practitioner | 2800 Maple Avenue, Zanesville, OH 43701-1716 | 2006-09-22 |
| 1316935653 | Beth Lynn Fineran | Nurse Practitioner | 716 Adair Ave, Zanesville, OH 43701-2836 | 2005-10-11 |
| 1962003657 | Lyndsey Leigh Bateson | Nurse Practitioner | 955 Bethesda Dr, Zanesville, OH 43701-1873 | 2020-11-08 |
| 1609492941 | Rose Margaret Mantel | Nurse Practitioner | 2951 Maple Ave, Zanesville, OH 43701-1406 | 2020-06-23 |
| 1487205928 | Kristen Marie Miller | Nurse Practitioner | 3814 James Ct, Zanesville, OH 43701-0965 | 2019-09-26 |
| 1548819410 | Keri Jordan | Nurse Practitioner | 2951 Maple Ave, Zanesville, OH 43701-1406 | 2019-09-04 |
| Find all providers in ZANESVILLE | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.