ASHLEY ANTIONETTE MONTGOMERY (NPI# 1982131991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982131991 |
| Entity Type | Individual |
| Full Name | ASHLEY ANTIONETTE MONTGOMERY |
| Credential | LPN |
| Practice Address |
1409 Kirkman St Lake Charles LA 70601 |
| Mailing Address |
1409 Kirkman St Lake Charles LA 70601-5344 |
| Practice Telephone | 3374193583 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 164W00000X | Licensed Practical Nurse | 20122542 | LA | Nursing Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356844336 | Ashley Montgomery | Chore Provider | 339 Tin St Apt 411, Henderson, NV 89015-7387 | 2018-03-15 |
| 1538469747 | Ashley Montgomery | Physical Therapist | 5319 Peridot Ave, Alta Loma, CA 91701-1246 | 2010-10-22 |
| 1679691182 | Ashley Louise Montgomery | Occupational Therapist | 1380 Elm Ave, Lancaster, PA 17603-4642 | 2007-03-26 |
| 1912536343 | Ashley Elizabeth Montgomery | Pharmacist | 6211 Waterford Blvd, Evansville, IN 47715-2869 | 2020-04-07 |
| 1750840641 | Ashley Marie Montgomery | Case Manager/Care Coordinator | 900 Fulton Ave Ste 205, Sacramento, CA 95825-4517 | 2019-03-19 |
| 1467939637 | Ashley Montgomery | Chore Provider | 525 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2018-07-20 |
| 1083163133 | Ashley Montgomery | Specialist/Technologist | 1801 Grant Ave, Jonesboro, AR 72401-6155 | 2016-09-30 |
| 1790122976 | Ashley Montgomery | Nurse Practitioner | 5201 Harry Hines Blvd, Dallas, TX 75235-7708 | 2013-05-29 |
| 1780933895 | Ashley Montgomery | Speech-Language Pathologist | 14715 Bristol Park Blvd, Edmond, OK 73103 | 2012-09-05 |
| 1720398126 | Ashley Montgomery | Day Training/Habilitation Specialist | 200 General St, Batesville, AR 72501-9407 | 2010-10-19 |
| Street Address |
1409 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861627465 | Lakisha Shantell Williams | Psychologist | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2009-05-26 |
| 1972128304 | Latin Berry Sr. | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-11 |
| 1902421654 | David Jennings Milliken | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-09 |
| 1659995629 | Cole Campo | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-06-04 |
| 1881223857 | Mollie Yorks | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-04-02 |
| 1447886643 | Morgan Leanne Appleby | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-03-19 |
| 1851925408 | Theresa Marie Hardy | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2020-02-22 |
| 1346881331 | Veronica Lubin | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-10-01 |
| 1760033385 | Michelle B Harp | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-09-25 |
| 1144875048 | Vanessa Silas Mckinstry | Case Manager/Care Coordinator | 1409 Kirkman St, Lake Charles, LA 70601-5344 | 2019-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235768235 | Joi Reed | Case Manager/Care Coordinator | 1511 Kirkman St, Lake Charles, LA 70601-5346 | 2020-04-02 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| 1932682580 | Leigha Marie Robinson | Case Manager/Care Coordinator | 1202 W Kirkman St., Lake Charles, LA 70601 | 2018-09-10 |
| 1831680461 | Esther Lee Augustine | Case Manager/Care Coordinator | 2508 Oak Park Blvd, Lake Charles, LA 70601-8158 | 2018-05-18 |
| 1407366339 | Helena Thomas | Case Manager/Care Coordinator | 1202 Kirman Street, Suite C, Lake Charles, LA 70601 | 2017-10-05 |
| 1154794253 | Shemica Moss | Case Manager/Care Coordinator | 1639 Ryan St, Lake Charles, LA 70601-5948 | 2015-11-11 |
| 1942673256 | Belinda Williams | Case Manager/Care Coordinator | 312 Heather St, Lake Charles, LA 70605-6508 | 2015-11-09 |
| 1851764757 | Teneisha Frank Wright | Case Manager/Care Coordinator | 1313 Common St, Lake Charles, LA 70601 | 2015-11-02 |
| 1356711626 | Adrianna White | Case Manager/Care Coordinator | 3501 5th Ave Ste A, Lake Charles, LA 70607-2155 | 2015-09-30 |
| 1366871477 | Andrew Jordan | Case Manager/Care Coordinator | 1011 Lake Shore Dr Ste 618, Lake Charles, LA 70601-9419 | 2013-11-08 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on ASHLEY ANTIONETTE 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.