MRS. JESSICA MONTGOMERY (NPI# 1710390026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710390026 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA MONTGOMERY |
| Practice Address |
3300 Centennial Ln Ellicott City MD 21042-3600 |
| Practice Telephone | 8149352792 |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R218185 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F1113277 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801000302 | Jessica Montgomery | Physical Therapist | 365 E Bird Village Rd, Jackson, NJ 08527-4642 | 2007-05-10 |
| 1871112128 | Jessica Montgomery | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-04-15 |
| 1386278737 | Jessica Nicole Montgomery | Behavior Technician | 600 Arthur St, Knoxville, TN 37921-6405 | 2020-02-25 |
| 1669027405 | Jessica Luanne Montgomery | Physical Therapy Assistant | 831 Tehuacana Hwy, Mexia, TX 76667 | 2019-08-08 |
| 1053963041 | Jessica Meghan Montgomery | Physical Therapist | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2019-07-10 |
| 1124686639 | Jessica Montgomery | Occupational Therapist | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-05-30 |
| 1063863272 | Jessica L Montgomery | Dentist | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2016-06-29 |
| 1619361490 | Jessica Montgomery | Physical Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-03-19 |
| 1538500541 | Jessica R Montgomery | Speech-Language Pathologist | 161 Hatcher Ln, Clarksville, TN 37043-5987 | 2013-07-08 |
| 1609132182 | Jessica Maggie Montgomery | Health Educator | 2844 Coloma St, Placerville, CA 95667-4406 | 2012-04-09 |
| Street Address |
3300 CENTENNIAL LN |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21042-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790069490 | Stephanie Rae Gillis | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2011-09-29 |
| 1821635749 | Colman Ejerenwa | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2019-12-10 |
| 1689148256 | Lauren Appiah | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2019-01-17 |
| 1568953248 | Jacqueline Catherine Jones | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042 | 2018-05-29 |
| 1124539861 | Cynthia N Okonkwo | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042 | 2017-10-21 |
| 1326588278 | Cvs Aoc Services, L.L.C. | Audiologist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2017-02-26 |
| 1750826269 | Robert Wade Williams | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2016-12-20 |
| 1053778449 | Yelizaveta Bavosa | Physician Assistant | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2016-01-15 |
| 1396140752 | Felicia Talbott | Pharmacist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-10-28 |
| 1689073702 | Kimberly Sheedy | Pharmacist | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861950792 | Danielle Coliukos | Student in an Organized Health Care Education/Training Program | 3006 Fawnwood Dr, Ellicott City, MD 21042 | 2019-03-11 |
| 1700356110 | Sung Hee Moon | Acupuncturist | 9005 Chevrolet Dr #4, Ellicott City, MD 21042 | 2018-11-28 |
| 1902375009 | Sharon N Allen | Speech-Language Pathologist | Hcpss, 10910 Clarksville Pike, Ellicott City, MD 21042 | 2018-11-19 |
| 1043700412 | Samirawit Hailemariam | Registered Nurse | 9527 Liverpool Lane, Ellicott City, MD 21042 | 2018-05-11 |
| 1144771965 | Maryland Psychotherapy Services | Community/Behavioral Health | 7054 Dorsey Hall Dr., Suite 104, Ellicott City, MD 21042 | 2016-10-17 |
| 1861851321 | The Lutheran Village At Miller's Grant, Inc. | Skilled Nursing Facility | 9000 Fathers Legacy, Ellicott City, MD 21042 | 2016-02-12 |
| 1942676952 | Hyoung Keun Kim | Dentist | 10033 Baltimore Pike Suite 320, Ellicott City, MD 21042 | 2015-08-13 |
| 1356743553 | Cvs Pharmacy | Pharmacist | 3300a Centennial Lane, Ellicott City, MD 21042 | 2014-09-18 |
| 1821407719 | Zulema Roberts | Counselor | 3355 St. Johns Lane, Suite F, Ellicott City, MD 21042 | 2014-08-05 |
| 1548681638 | Better Life Pain Clinic, Pllc | Physical Medicine & Rehabilitation | 3459 St. John's Lane, Suite 9, Ellicott City, MD 21042 | 2013-12-17 |
| Find all providers in zip 21042 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340537 | Wubit Tilahun Raru | Nurse Practitioner | 3290 N Ridge Rd Ste 100, Ellicott City, MD 21043-3689 | 2020-09-14 |
| 1669938262 | Alyssa Newman | Nurse Practitioner | 4016 Heritage Hill Ln, Ellicott City, MD 21042-1205 | 2019-02-19 |
| 1750896437 | Olusola Aina Essien | Nurse Practitioner | 3214 Birchmede Dr, Ellicott City, MD 21042-2302 | 2017-12-04 |
| 1255881686 | Mercy Ijoma | Nurse Practitioner | 9055 Chevrolet Dr Ste 205, Ellicott City, MD 21042-4000 | 2016-10-10 |
| 1790069490 | Stephanie Rae Gillis | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2011-09-29 |
| 1861680506 | Catherine Frost | Nurse Practitioner | 3300 Centenial Ln, Ellicott City, MD 21042-3600 | 2007-10-09 |
| 1124012711 | Tyra Sharron Carter | Nurse Practitioner | 3247 Halcyon Ct, Ellicott City, MD 21043-3379 | 2005-09-09 |
| 1285268300 | Dathao Huynh | Nurse Practitioner | 4801 Dorsey Hall Dr Ste 140, Ellicott City, MD 21042-7703 | 2020-02-27 |
| 1821635749 | Colman Ejerenwa | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2019-12-10 |
| 1316599145 | Helen Isabelle Scott-bayley | Nurse Practitioner | 4310 English Morning Ln, Ellicott City, MD 21043-6790 | 2019-07-11 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21042 |
Please comment or provide details below to improve the information on MRS. JESSICA MONTGOMERY.
| 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.