CAROLYN A MONTGOMERY (NPI# 1720053416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720053416 |
| Entity Type | Individual |
| Full Name | CAROLYN A MONTGOMERY |
| Credential | NP |
| Practice Address |
50 Lakefront Blvd Suite 130 Buffalo NY 14202-4345 |
| Practice Telephone | 7168498750 |
| Practice Fax Number | 7168498756 |
| Mailing Telephone | 7168498750 |
| Mailing Fax Number | 7168498756 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2014-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
F340627 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518285857 | Carolyn Daniele' Montgomery | Licensed Practical Nurse | 1429 Van Fleet Ave, Cincinnati, OH 45231-4424 | 2010-05-11 |
| 1487283008 | Carolyn Montgomery | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-06 |
| 1710283734 | Carolyn Montgomery | Physical Therapist | 8254 Atlee Rd, Mechanicsville, VA 23116-1844 | 2011-02-09 |
| 1588769913 | Carolyn A Montgomery | Physician Assistant | 9555 Upland Ln N, Maple Grove, MN 55369-4485 | 2006-09-13 |
| Street Address |
50 LAKEFRONT BLVD SUITE 130 |
| City | BUFFALO |
| State | NY |
| Zip Code | 14202-4345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929658 | Ratnakumar S Newton | Family Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2005-08-22 |
| 1043697501 | Keira Siobhan Mccarthy | Nurse Practitioner | 50 Lakefront Blvd, Buffalo, NY 14202-4345 | 2015-05-04 |
| 1699107011 | Judith Ann Bell | Nurse Practitioner | 50 Lakefront Blvd, Buffalo, NY 14202-4345 | 2013-08-08 |
| 1821437120 | Sherry L Wheelock | Nurse Practitioner | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4327 | 2013-06-19 |
| 1538424650 | Ipc Hospitalist Services of New York, P.C. | Internal Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2012-07-05 |
| 1003105610 | Merry Lyn Green | Nurse Practitioner | 50 Lakefront Blvd, Buffalo, NY 14202-4345 | 2011-04-04 |
| 1710286141 | Jodi L Witman | Nurse Practitioner | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2011-03-24 |
| 1407172323 | Steven Buslovich | Internal Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2010-04-16 |
| 1215250279 | Shannon D Marzullo | Nurse Practitioner | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2010-03-04 |
| 1184852840 | Elizabeth M Harding | Family Medicine | 50 Lakefront Blvd, Suite 130, Buffalo, NY 14202-4345 | 2009-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376141655 | Deborah Elaine Ricci | Counselor | 43o Niagara Sq, Buffalo, NY 14202 | 2020-10-09 |
| 1831716208 | Meagan Licata | Counselor | Bestself Behavioral Health, 255 Delaware Ave Ste 300, Buffalo, NY 14202 | 2020-07-01 |
| 1962022483 | Autumn Marie Hayes I | Counselor | 625 Deleware Avenue, Suite 204, Buffalo, NY 14202 | 2020-04-24 |
| 1861012742 | Natasha Qutab | Student in an Organized Health Care Education/Training Program | Department of Neurology, 1010 Main Street, 2nd Floor, Buffalo, NY 14202 | 2020-04-21 |
| 1396232245 | Wood Dental LLC | Dentist | 564 Franklin Street, Buffalo, NY 14202 | 2018-04-17 |
| 1083130728 | Lydia Heeeun Doublestein | Advanced Practice Midwife | 367 Delaware Ave, Buffalo, NY 14202 | 2017-08-15 |
| 1356861652 | Michelle Cheesman | Speech-Language Pathologist | 801 City Hall, Buffalo, NY 14202 | 2017-06-27 |
| 1275082075 | Tempresst Nycole Batts Ravenell | Registered Nurse | 69 Delaware Ave Suite 1200, Interim Healthcare, Buffalo, NY 14202 | 2016-09-22 |
| 1972974764 | Tiffany Tyran | Registered Nurse | 69 Delaware Ave, Suite 1200, Buffalo, NY 14202 | 2015-10-19 |
| 1487044368 | Katherine Jeffries-coppola | Registered Nurse | 69 Delaware Ave. Suite 1200, Buffalo, NY 14202 | 2015-01-29 |
| Find all providers in zip 14202 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285937284 | Derrice Andrea Howell | Nurse Practitioner | 124 Gardenwood Ln, Buffalo, NY 14223-1150 | 2010-12-13 |
| 1467010769 | Danielle Tanner | Nurse Practitioner | 40 La Riviere Dr Ste 140, Buffalo, NY 14202-4306 | 2019-05-31 |
| 1366907586 | Ashley Nicole Morris | Nurse Practitioner | 100 High St, Buffalo, NY 14203-1126 | 2019-02-01 |
| 1447506126 | Anne Marie Pribyl | Nurse Practitioner | 1700 Highway 25 N, Buffalo, MN 55313-1930 | 2012-07-31 |
| 1962421271 | Linda Steeg | Nurse Practitioner | 3 Gates Cir, Buffalo, NY 14209-1120 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013415 | Carl Mark Cacciotti | Nurse Practitioner | 81 Sweetmilk Creek Rd, Troy, NY 12180-9100 | 2020-11-03 |
| 1356942957 | Violeta Izrailov | Nurse Practitioner | 7529 187th St, Fresh Meadows, NY 11366-1725 | 2020-11-02 |
| 1063028041 | Alanna Baldassarre | Nurse Practitioner | 1 Daywood Ct, East Northport, NY 11731-3446 | 2020-09-16 |
| 1316553399 | Jacqueline Abbatiello | Nurse Practitioner | 66 Wickey Ave, Westbury, NY 11590-2005 | 2020-09-16 |
| 1235760612 | Sumra Abbasi | Nurse Practitioner | 6 S Georgia St, Valley Stream, NY 11580-2309 | 2020-02-04 |
| 1104465392 | Cindy Ha | Nurse Practitioner | 29-22 Northern Blvd, Apt 1805, Long Island City, NY 11101 | 2020-01-06 |
| 1508412503 | Julie Marie Giles | Nurse Practitioner | 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 | 2019-08-15 |
| 1952874604 | Alice M Carrington | Nurse Practitioner | 61 Syracuse St, Baldwinsville, NY 13027-2929 | 2019-01-05 |
| 1629597224 | Guerdy M Michel-loiseau | Nurse Practitioner | 90-01 Broadway, Elmhurst, NY 11373 | 2017-09-14 |
| 1396297354 | Ann-marie Campbell | Nurse Practitioner | 1292 E 93rd St, Brooklyn, NY 11236-4321 | 2016-10-25 |
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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.