COURTNEY LAIRD MONTGOMERY (NPI# 1992784656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992784656 |
| Entity Type | Individual |
| Full Name | COURTNEY LAIRD MONTGOMERY |
| Other Name | COURTNEY LAIRD DECKER |
| Credential | ARNP |
| Practice Address |
4140 Factoria Blvd Se Suite A Bellevue WA 98006-5261 |
| Mailing Address |
Po Box 1031 Fall City WA 98024-1031 |
| Practice Telephone | 4256442273 |
| Practice Fax Number | 4256447318 |
| Mailing Telephone | 4252225778 |
| Mailing Fax Number | 4256447318 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2009-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30007068 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154808947 | Courtney Paige Montgomery | Behavioral Analyst | 300 Se Reed Market Rd Ste 155, Bend, OR 97702-2237 | 2018-07-24 |
| 1942844212 | Courtney Lee Montgomery | Nurse Practitioner | 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | 2019-10-30 |
| Street Address |
4140 FACTORIA BLVD SE SUITE A |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98006-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417946955 | Gaylene Ann Adams | Nurse Practitioner | 4140 Factoria Blvd Se, Ste A, Bellevue, WA 98006-5261 | 2005-10-18 |
| 1215334156 | Barbara Winges Conflitti | Nurse Practitioner | 4140 Factoria Blvd Se, Bellevue, WA 98006-5261 | 2014-11-20 |
| 1346548658 | Ankle & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2011-03-10 |
| 1760661334 | Puget Sound Specialty Physicians Pllc | Podiatrist | 4140 Factoria Blvd Se, Suite 1b, Bellevue, WA 98006-5261 | 2007-10-30 |
| 1396898086 | Mark K Piker | Psychiatry & Neurology | 4140 Factoria Blvd Se, Ste A, Bellevue, WA 98006-5261 | 2007-01-18 |
| 1932267796 | Raymond K Chan | Dentist | 4140 Factoria Blvd Se, #2b, Bellevue, WA 98006 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033602628 | Junmei Jin | Acupuncturist | 4317 Factoria Blvd Se Ste C, Bellevue, WA 98006 | 2018-06-08 |
| 1144733106 | Justin J Ho | Physical Therapist | 12917 Se 38th St Ste 208, Bellevue, WA 98006 | 2017-11-13 |
| 1932507191 | & Foot Specialists of Puget Sound, Ps | Podiatrist | 4140 Factoria Blvd Se Suite 1b, Bellevue, WA 98006 | 2014-12-19 |
| 1437556347 | Hilla Asadi | Naturopath | 12600 Se 38th St. #130, Bellevue, WA 98006 | 2014-11-21 |
| 1023433141 | Lori Anne Price | Speech-Language Pathologist | 12 Lummi Key, Bellevue, WA 98006 | 2014-02-26 |
| 1841628344 | Cohen, Manavi & Pakrvan Inc | Dentist | 3630a Factoria Blvd Se, Bellevue, WA 98006 | 2013-10-17 |
| 1740617836 | Kathleen L Carter | Massage Therapist | 5446 119th Ave Se #d, Bellevue, WA 98006 | 2013-10-03 |
| 1790037547 | Mellissa Ann Ilgen | Dentist | 4100 Factoria Blvd. Se, Suite C, Bellevue, WA 98006 | 2012-10-03 |
| 1982994364 | Hero House | Community/Behavioral Health | 12838 Se 40th Pl, Bellevue, WA 98006 | 2011-04-19 |
| 1356657738 | Lilia Schastlivaya | Massage Therapist | 13210 Se Newport Way, K201, Bellevue, WA 98006 | 2010-08-24 |
| Find all providers in zip 98006 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618750 | Sarah A Kampfer | Nurse Practitioner | 123 Gardner St, Bellevue, OH 44811-1811 | 2020-08-06 |
| 1386293660 | Kathryn Anderson | Nurse Practitioner | 14808 S 24th St, Bellevue, NE 68123-2003 | 2019-09-09 |
| 1265098610 | Yuzuo Zhang | Nurse Practitioner | 1020 108th Ave Ne Ste 19, Bellevue, WA 98004-4315 | 2019-05-11 |
| 1457819260 | Kathryn Kalmes | Nurse Practitioner | 15710 Ne 24th St Ste A, Bellevue, WA 98008-2444 | 2019-03-11 |
| 1487129243 | Pamela Sue Dorothea Cramer | Nurse Practitioner | 1265 W Main St Ste A, Bellevue, OH 44811-9055 | 2018-10-09 |
| 1841782257 | Kimberly Greene | Nurse Practitioner | 15600 Ne 8th St Ste A4, Bellevue, WA 98008-3917 | 2018-05-31 |
| 1588199053 | Hannah Ng | Nurse Practitioner | 1310 116th Ave Ne Ste A, Bellevue, WA 98004-3817 | 2017-04-21 |
| 1700325883 | Michelle Renae Peterson | Nurse Practitioner | 2529 Madison St, Bellevue, NE 68005-5366 | 2017-02-22 |
| 1740724988 | Amanda Spears | Nurse Practitioner | 413 Brinker St, Bellevue, OH 44811-1508 | 2016-12-07 |
| 1164976205 | Tatyana Melnik | Nurse Practitioner | 10610 Ne 9th Pl Unit 1900, Bellevue, WA 98004-8647 | 2016-08-06 |
| Find all providers in BELLEVUE | ||||
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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.