MRS. EBONY MONIQUE MONTGOMERY (NPI# 1629531595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629531595 |
Entity Type | Individual |
Full Name | MRS. EBONY MONIQUE MONTGOMERY |
Credential | APRN |
Practice Address |
8923 Bluebonnet Blvd Baton Rouge LA 70810-2973 |
Mailing Address |
12216 Amaranth Dr North Little Rock AR 72117-9753 |
Practice Telephone | 8702802578 |
Practice Fax Number | 8444472520 |
Mailing Telephone | 5013193256 |
Enumeration Date | 2019-04-08 |
Last Update Date | 2020-09-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
125407 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487209136 | Ebony Montgomery | Health Educator | 369 Fingal St, Pittsburgh, PA 15211-1013 | 2019-08-08 |
1932543733 | Ebony Theresa Montgomery | Counselor | 555 Towner St., Ypsilanti, MI 48198 | 2013-04-23 |
1669916995 | Ebony Sheng Yang Montgomery | Physician Assistant | 825 Highway 71 N, Alma, AR 72921-5114 | 2016-12-06 |
1659797835 | Ebony Montgomery | Rehabilitation Practitioner | 1721 Griffin Ave, Los Angeles, CA 90031-3312 | 2014-03-11 |
Street Address |
8923 BLUEBONNET BLVD |
City | BATON ROUGE |
State | LA |
Zip Code | 70810-2973 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700070752 | Aim Home of Louisiana LLC | Internal Medicine | 8923 Bluebonnet Blvd, Baton Rouge, LA 70810 | 2007-09-04 |
1477194140 | Monique Mccleery | Nurse Practitioner | 8923 Bluebonnet Blvd, Baton Rouge, LA 70810-2973 | 2019-10-03 |
1083269542 | Dorecia Leshon Wright | Nurse Practitioner | 8923 Bluebonnet Blvd, Baton Rouge, LA 70810-2973 | 2019-08-01 |
1497210504 | Amy Hicks Hector | Nurse Practitioner | 8923 Bluebonnet Blvd, Baton Rouge, LA 70810-2973 | 2019-02-02 |
1538624788 | Tonya Chauffe Hebert | Nurse Practitioner | 8923 Bluebonnet Blvd, Baton Rouge, LA 70810-2973 | 2019-02-01 |
1174866479 | Homedica of Louisiana, LLC | Case Manager/Care Coordinator | 8923 Bluebonnet Blvd, Baton Rouge, LA 70810-2973 | 2013-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639734973 | Baton Rouge Clinic, A Medical Corporation | Podiatrist | 8160 Ymca Blvd, Suite C, Baton Rouge, LA 70810 | 2019-05-02 |
1699278135 | Taylor Denise Debourg | Specialist/Technologist | 8921 Boone Drive, Baton Rouge, LA 70810 | 2018-03-12 |
1528583945 | Baton Rouge Perio, L.L.C. | Dentist | 10723 N. Oak Hills Parkway, Bldg. B, Baton Rouge, LA 70810 | 2017-08-07 |
1902334931 | Reginald Shaffer | Counselor | 13621 Kenner Ave Apt C, Baton Rouge, LA 70810 | 2017-06-03 |
1770010381 | Keona Julien | Case Manager/Care Coordinator | 9270 Siegen Ln Suite 101, Baton Rouge, LA 70810 | 2017-05-12 |
1205372893 | Grand Canyon Mobile Dentistry | Dentist | 8480 Bluebonnet Blvd Ste E, Baton Rouge, LA 70810 | 2017-01-06 |
1215395173 | Kimberly Booker | Counselor | 9371 Bimini Dr, Baton Rouge, LA 70810 | 2016-02-08 |
1710354022 | St Gabriel Health Clinic, Inc | Clinic/Center | 9211 Parkway Dr, Baton Rouge, LA 70810 | 2015-08-24 |
1942682430 | Jasmine Alexander | Counselor | 9270 Siegen Ln Bldg 101, Baton Rouge, LA 70810 | 2015-06-22 |
1073991535 | James Michael Robinson | Family Medicine | 12525 Perkins Rd Ste A, Baton Rouge, LA 70810 | 2015-05-15 |
Find all providers in zip 70810 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215396775 | Heart 2 Heart Care Clinic, LLC | Nurse Practitioner | 7350 Jefferson Hwy Ste 485-155, Baton Rouge, LA 70806 | 2016-02-12 |
1508499252 | Danielle Webster | Nurse Practitioner | 10310 The Grove Blvd, Baton Rouge, LA 70836-6455 | 2020-02-20 |
1811359052 | Brittney Alan Carlisle | Nurse Practitioner | 8585 Picardy Ave, Baton Rouge, LA 70809-3679 | 2016-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225638737 | Dpdnp, LLC | Nurse Practitioner | 1264 Avenue Du Chateau, Covington, LA 70433-6423 | 2020-10-26 |
1700496429 | Kyur LLC | Nurse Practitioner | 1581 Carol Sue Ave Ste B, Gretna, LA 70056-5100 | 2020-08-06 |
1548870439 | Tamara Dianne Mcadams | Nurse Practitioner | 156 Bobby Johnson Rd, Farmerville, LA 71241-8138 | 2020-08-05 |
1699384099 | Health & Wellness Home Medical Services, LLC | Nurse Practitioner | 211 N 1st St Ste 2, Amite, LA 70422-2466 | 2020-07-31 |
1417565615 | Bobby D Chelette | Nurse Practitioner | 181 Hat Creek Dr, West Monroe, LA 71292-1031 | 2020-07-14 |
1396363438 | Blake Mccullough Williams | Nurse Practitioner | 1017 N Pine St, Deridder, LA 70634-2817 | 2020-07-06 |
1730712605 | Christopher Aaron Sissell | Nurse Practitioner | 1850 Gause Blvd E Ste 103, Slidell, LA 70461-5454 | 2020-02-19 |
1790316610 | Perkins Nurse Practitioner Services | Nurse Practitioner | 9307 Melissa Way, Shreveport, LA 71115-2527 | 2020-01-29 |
1598305260 | Hollie Cavel Touchet | Nurse Practitioner | 116 Chicory Ln, Lafayette, LA 70506-9210 | 2020-01-10 |
1780228312 | Sharel Randolph Williams | Nurse Practitioner | 614 Harmony St, New Orleans, LA 70115-1108 | 2019-11-06 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70810 |
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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.