ELIZABETH NELL MONTGOMERY (NPI# 1184241416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184241416 |
| Entity Type | Individual |
| Full Name | ELIZABETH NELL MONTGOMERY |
| Credential | ARNP |
| Practice Address |
1812 S Mildred St Ste H Tacoma WA 98465-1634 |
| Mailing Address |
6519 55th Street Ct W University Place WA 98467-2968 |
| Practice Telephone | 2533015270 |
| Mailing Telephone | 4256818676 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
61059965 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AANP FNP CERTIFICATION | F01201277 | 01 | |
| WA | WA ARNP CREDENTIAL | 61059965 | 01 |
| WA | RN LICENSE | 60582180 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1322 3rd St Se, Puyallup, WA 983723771 | 2536971420 |
| 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 |
| 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 |
| 1609120542 | Elizabeth Anne Montgomery | Nurse Practitioner | 210 E Gray St, Ste 601, Louisville, KY 40202-3902 | 2012-10-30 |
| Street Address |
1812 S MILDRED ST STE H |
| City | TACOMA |
| State | WA |
| Zip Code | 98465-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497139943 | Whitney Elizabeth Hine | Family Medicine | 1812 S Mildred St Ste H, Tacoma, WA 98465-1634 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1629202627 | Priyan Perera | Internal Medicine | 815 S Vassault St, Tacoma, WA 98465 | 2009-05-06 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1508952680 | Mary Ann Woodruff | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
| 1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
| 1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
| Find all providers in TACOMA | ||||
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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.