ANGELA MARIE MONTGOMERY (NPI# 1669954053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669954053 |
| Entity Type | Individual |
| Full Name | ANGELA MARIE MONTGOMERY |
| Credential | FNP |
| Practice Address |
1016 E Roosevelt Ave Grants NM 87020-2118 |
| Mailing Address |
1701 E Hebron Pkwy Apt 13102 Carrollton TX 75010-2088 |
| Practice Telephone | 5052874447 |
| Mailing Telephone | 4697244825 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP138001 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869177 | Angela Elaine Montgomery | Social Worker | 110 Fashion Blvd, Hahnville, LA 70057-2061 | 2020-07-28 |
| 1003305434 | Angela Montgomery | Registered Nurse | 1564 N King St, Honolulu, HI 96817-4295 | 2018-05-01 |
| 1366847527 | Angela F. Montgomery | Counselor | 1117 Gamston Ln, Virginia Beach, VA 23455-6891 | 2014-10-30 |
| 1841428406 | Angela M Montgomery | Pediatrics | 20 York St # Wp493, Yale-new Haven Hospital, New Haven, CT 06510-3220 | 2009-06-22 |
| 1386850733 | Angela Montgomery | Dentist | 392 Front St, Weir, MS 39772 | 2007-05-15 |
| 1891394797 | Angela Montgomery | Orthotist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-21 |
| 1427686591 | Angela M Montgomery | Licensed Practical Nurse | 4600 Mcmasters Ave, Hannibal, MO 63401-2244 | 2020-04-01 |
| 1528620135 | Angela Montgomery | Social Worker | 1515 Indianola Ave, Columbus, OH 43201-2118 | 2019-07-03 |
| 1023574548 | Angela L Montgomery | Social Worker | 200 University Rdg, Greenville, SC 29601-3635 | 2019-02-20 |
| 1770050163 | Angela Nichole Montgomery | Occupational Therapist | 215 Davis Rd, Ossian, IN 46777-9230 | 2018-10-24 |
| Street Address |
1016 E ROOSEVELT AVE |
| City | GRANTS |
| State | NM |
| Zip Code | 87020-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677039 | Cibola General Hospital Corporation | General Acute Care Hospital | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2005-08-23 |
| 1770047441 | Fedko Emergency Physicians New Mexico LLC | Emergency Medicine | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2019-01-28 |
| 1023593472 | Megan Patricia Greteman | Physician Assistant | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2018-10-02 |
| 1558711846 | Alfredo Nevarez | Family Medicine | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2016-06-16 |
| 1093024275 | Cibola General Hospital Phcy | Pharmacy | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2010-10-05 |
| 1629122973 | Merton Olai Johnson | Nurse Anesthetist, Certified Registered | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2007-01-23 |
| 1699885517 | Vista Emergency Physicians | Emergency Medicine | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2006-08-30 |
| 1588694871 | Edward S. Sanshu Certified & Reg | Nurse Anesthetist, Certified Registered | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2006-07-03 |
| 1134155443 | Edward S Sanshu | Nurse Anesthetist, Certified Registered | 1016 E Roosevelt Ave, Grants, NM 87020-2118 | 2006-06-26 |
| 1265489389 | Chander S Bhatia | Emergency Medicine | 1016 E Roosevelt Ave, Emergency Department, Grants, NM 87020-2118 | 2006-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1295382265 | Janell Marie Villalobos | Registered Nurse | 813 Mesa Blvd., Grants, NM 87020 | 2019-08-23 |
| 1396243390 | Las Brisas Enterprises, LLC | Clinic/Center | 1209 Bonita Ave Suite A, Grants, NM 87020 | 2018-01-25 |
| 1407386014 | Wilma Beverly White | Occupational Therapy Assistant | 200 Adams, Grants, NM 87020 | 2017-06-15 |
| 1063840551 | Patricia Thompson | Nurse Practitioner | 2111 Lobo Canyon Rd, Grants, NM 87020 | 2013-10-22 |
| 1063778512 | Adobe Foot and Ankle Specialists, P.C. | Podiatrist | 765 E. Roosevelt Ave., Grants, NM 87020 | 2012-04-10 |
| 1841588506 | Saint Mary Nonemergency Medical Transportatio | Non-emergency Medical Transport (VAN) | 1325 Saddlehorn Trail, Grants, NM 87020 | 2011-07-15 |
| 1801129416 | Tammy L. White | Social Worker | 2595 West Highway 66, Grants, NM 87020 | 2009-09-14 |
| 1720236524 | Martha Abeyta | Nurse Practitioner | 1210 Mt. Taylor Ave, Grants, NM 87020 | 2008-09-04 |
| 1780869255 | Lou G. Mazon-vigil | Homeopath | 1300 Del Norte Blvd, Grants, NM 87020 | 2008-01-03 |
| Find all providers in zip 87020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306856166 | Lita C Bailly | Nurse Practitioner | 1217 Bonita St, Grants, NM 87020-2103 | 2006-08-08 |
| 1003889254 | Dorcas Ann Yates | Nurse Practitioner | 1010 E Roosevelt Ave, Grants, NM 87020-2118 | 2006-02-08 |
| 1093283863 | Daniel Edward Fenton II | Nurse Practitioner | 1217 Bonita St, Grants, NM 87020-2103 | 2018-11-09 |
| 1477043594 | Martha Elia Reyes | Nurse Practitioner | 1423 E Roosevelt Ave, Grants, NM 87020-2245 | 2018-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851845 | Jessica Montoya | Nurse Practitioner | 119 California Pine Rd Ne, Rio Rancho, NM 87124-2505 | 2020-11-03 |
| 1497354328 | Tracy Bui | Nurse Practitioner | 9200 Timber Ridge Rd Nw, Albuquerque, NM 87120-6278 | 2020-10-21 |
| 1477152619 | Aileen Liong | Nurse Practitioner | 3820 Dynamite Rd Ne, Rio Rancho, NM 87144-4160 | 2020-10-20 |
| 1578162822 | Holly Killough | Nurse Practitioner | 2332 Cottage San Rd, Silver City, NM 88061-8966 | 2020-10-19 |
| 1558969253 | Beverly Carter | Nurse Practitioner | 5021 Nelson Pl Nw, Albuquerque, NM 87114-4320 | 2020-10-14 |
| 1932706223 | Rozita Dayani | Nurse Practitioner | 6821 Promenade Ave Ne, Albuquerque, NM 87109-2824 | 2020-10-08 |
| 1730795626 | Jia Wu | Nurse Practitioner | 7124 Marseille Pl Ne, Albuquerque, NM 87122-3328 | 2020-09-17 |
| 1912513870 | Ariel A Nunez | Nurse Practitioner | 500 Walter Street Ne, Suite 216, Lovelace Medical Towers - Clinical Informatics, Albuquerque, NM 87102-2543 | 2020-09-16 |
| 1114531100 | Anneliese K. Glasgow | Nurse Practitioner | 2515 Tiffany Dr, Las Cruces, NM 88011-0880 | 2020-09-07 |
| 1326652173 | Matthew S Fogel | Nurse Practitioner | 3129 Casa Bonita Dr Ne, Albuquerque, NM 87111-5607 | 2020-08-31 |
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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.