ELIZABETH KRATZ MONTGOMERY (NPI# 1679684161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679684161 |
| Entity Type | Individual |
| Full Name | ELIZABETH KRATZ MONTGOMERY |
| Credential | ARNP |
| Practice Address |
3400 California Ave Sw Seattle WA 98116 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063203399 |
| Practice Fax Number | 2063205506 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN00163398 | WA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | AP30007290 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007290 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1679684161 | 05 | |
| WA | 9648148 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487149878 | Elizabeth Montgomery | Social Worker | 8 Salt Creek Ln Ste 202, Hinsdale, IL 60521-2903 | 2018-06-27 |
| 1174782015 | Elizabeth Kim Montgomery | Audiologist-Hearing Aid Fitter | 7777 Hennessy Blvd Ste 709, Hearing and Balance Center, Baton Rouge, LA 70808-4366 | 2008-06-05 |
| 1558418483 | Elizabeth Montgomery | Marriage & Family Therapist | 21050 Bush St., Middletown, CA 95461 | 2007-01-04 |
| 1013518901 | Elizabeth Montgomery | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2020-11-05 |
| 1366041022 | Elizabeth Erin Montgomery | Registered Nurse | 2701 17th St, Rock Island, IL 61201-5351 | 2020-10-22 |
| 1184241416 | Elizabeth Nell Montgomery | Nurse Practitioner | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2020-07-02 |
| 1720544943 | Elizabeth Montgomery | Registered Nurse | 9650 Gross Point Rd # 4900, Skokie, IL 60076 | 2019-02-12 |
| 1295260909 | Elizabeth Montgomery | Social Worker | 211 W Main St, Sterling, CO 80751-3168 | 2017-05-01 |
| 1811431091 | Elizabeth Montgomery | Behavioral Analyst | 19530 Kedzie Ave, Flossmoor, IL 60422-1778 | 2016-12-07 |
| 1518319763 | Elizabeth M Montgomery | Case Manager/Care Coordinator | 2501 E Piedmont Rd, Marietta, GA 30062-7752 | 2016-07-11 |
| Street Address |
3400 CALIFORNIA AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396722260 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3358 | 2005-12-30 |
| 1760836571 | Reena Ramakrishnan | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2016-04-18 |
| 1245693332 | Laboratory Corporation of America | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3307 | 2016-04-05 |
| 1841670619 | The Polyclinic | Allergy & Immunology | 3400 California Ave Sw, Suite 200, Seattle, WA 98116-3307 | 2015-06-05 |
| 1538568654 | Ursula Vanessa Melendez | Registered Nurse | 3400 California Ave Sw, Seattle, WA 98116 | 2014-08-14 |
| 1679905731 | Bianca Marcu | Physician Assistant | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2013-07-31 |
| 1437412806 | Christian A Dean | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2012-06-20 |
| 1508199597 | Dynacare Northwest Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Ste 300, Seattle, WA 98116-3307 | 2009-09-09 |
| 1912131913 | Kimberly B Simmons | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116 | 2009-05-06 |
| 1811148299 | Stephanie L Greene | Physical Therapist | 3400 California Ave Sw, Suite 100, Seattle, WA 98116-3307 | 2008-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1538692280 | Stacey Devenney | Counselor | 3026 52nd Ave Sw, Seattle, WA 98116 | 2017-04-10 |
| 1336698786 | Andrew Creed Gray | Physical Therapist | 3727 California Ave. Sw, Suite 1-a, Seattle, WA 98116 | 2016-09-27 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1043666175 | Gretchen Gerhardt | Counselor | 3272 California Ave Sw Ste 300, Seattle, WA 98116 | 2016-05-07 |
| 1609274307 | Lekea Sharon Sarah Itero | Counselor | 1116 Summit Avenue Therapeutic Health Services, Seattle, WA 98116 | 2014-12-11 |
| 1306275284 | Elizabeth Davis | Dentist | 14212 Ambaum Blvd. Sw, Suite 100, Burien, WA 98116 | 2013-11-01 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1851637953 | Chrissandra Ann Snider | Massage Therapist | 3258 California Ave Sw Ste D, Seattle, WA 98116 | 2012-12-17 |
| 1528302908 | Samara K Hoag | Registered Nurse | 3429 - 45th Ave Sw, Madison Middle School, Seattle, WA 98116 | 2012-11-26 |
| Find all providers in zip 98116 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 1225647381 | Donica Liwanag Badua | Nurse Practitioner | 819 Virginia St Unit 2605, Seattle, WA 98101-4430 | 2020-07-24 |
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1306485370 | Samuelle Genevievre Inevil | Nurse Practitioner | 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 | 2019-12-23 |
| 1841838422 | Rachel Sasinowski Herrmann | Nurse Practitioner | 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 | 2019-12-14 |
| 1265085542 | Hyunjoo Hannah Bae | Nurse Practitioner | 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 | 2019-07-16 |
| 1699247874 | Brien Claes Barrett | Nurse Practitioner | 10315 Stone Ave N, Seattle, WA 98133-9419 | 2018-12-28 |
| 1730662057 | Heather Renee Grods | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2018-09-12 |
| 1639651086 | Amanda Matthews | Nurse Practitioner | 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 | 2018-09-02 |
| Find all providers in SEATTLE | ||||
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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.