JACQUELINE MONTGOMERY (NPI# 1225583859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225583859 |
| Entity Type | Individual |
| Full Name | JACQUELINE MONTGOMERY |
| Practice Address |
2648 Ravenall Ave Orlando FL 32811-5544 |
| Practice Telephone | 4072721806 |
| Mailing Telephone | 4072721806 |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
LPC0460030715 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2648 RAVENALL AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32811-5544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922640168 | Carlo Lavern Shaw | Counselor | 6150 Metro West Blvd Suite 103, Orlando, FL 32811 | 2019-10-09 |
| 1639734791 | Malissa Brown | Home Health | 5208 Greenery Ct, Orlando, FL 32811 | 2019-05-04 |
| 1619431665 | Health Care Center for The Homeless Inc | Pharmacy | 4426 Old Winter Garden Rd, Orlando, FL 32811 | 2019-01-24 |
| 1649763178 | Marie Alexandra Senat I | Adult Companion | 640 Grandiflora Drive, Orlando, FL 32811 | 2018-06-09 |
| 1851893309 | Next Level Physiotherapy and Performance | Physical Therapist | 4700 Lb Mcleod Rd, Orlando, FL 32811 | 2018-03-01 |
| 1447798681 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4205 Sw 34th Street, Orlando, FL 32811 | 2017-02-08 |
| 1386054161 | Leondra Foster | Home Health | 4787 King Cole Blvd, Orlando, FL 32811 | 2014-05-02 |
| 1790115681 | Calvin Collins Jr. | Internal Medicine | 4403 Vineland Rd, Suite B5, Orlando, FL 32811 | 2013-11-14 |
| 1043514458 | Legacy V Medical | Durable Medical Equipment & Medical Supplies | 3113 Willie Mays Pkwy, Ste.1100-b, Orlando, FL 32811 | 2010-12-28 |
| 1477871440 | Rm Toussaint Md LLC | Surgery | 4600 S. Kirkman Road, # 218, Orlando, FL 32811 | 2010-05-14 |
| Find all providers in zip 32811 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568964039 | Keep A Kid On Track | Counselor | 623 Pine Hill Road, Orlando, FL 32808 | 2018-03-01 |
| 1780114330 | Fanny Vivas | Counselor | 8000 South Orange Avenue, Suite 111, Orlando, FL 32809 | 2017-06-15 |
| 1376948588 | Larry Glover | Counselor | 2061 Hyde Paek Rd, Orlando, FL 32210 | 2014-10-30 |
| 1942641782 | Mariela Mercedes Viloria | Counselor | 5205 S Orange Ave Ste 202, Orlando, FL 32809-3067 | 2013-07-09 |
| 1083804348 | Damonte Drenner | Counselor | 8023 Chianti Dr, Orlando, FL 32836-5305 | 2007-08-01 |
| 1134264443 | Shirley Marie Lee | Counselor | 1009 N Pine Hills Rd, Orlando, FL 32808-7123 | 2007-02-21 |
| 1821582503 | Pelagie Foundation Ltd | Counselor | 111 N Orange Ave Ste 800, Orlando, FL 32801 | 2018-06-18 |
| 1184129058 | Alba Morela Castillo | Counselor | 8000 S Orange Ave Ste 111, Orlando, FL 32809-6747 | 2018-03-24 |
| 1356846224 | Iris J Torres | Counselor | 8000 S Orange Ave Ste 111, Orlando, FL 32809-6747 | 2018-03-24 |
| 1447755319 | Rogerio Alves Da Paz | Counselor | 8000 S Orange Ave Ste 111, Orlando, FL 32809-6747 | 2018-03-24 |
| Find all providers in ORLANDO | ||||
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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.