MRS. DIANA LYNN MONTGOMERY (NPI# 1336148808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336148808 |
| Entity Type | Individual |
| Full Name | MRS. DIANA LYNN MONTGOMERY |
| Practice Address |
60 Long Ave Parsons TN 38363-2429 |
| Practice Telephone | 7318473676 |
| Practice Fax Number | 7318476290 |
| Mailing Telephone | 7318473676 |
| Mailing Fax Number | 7318476290 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TLC | 31635 | 01 |
| TN | BCBS | 4021848 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356347 | Diana Michelle Montgomery | Nurse Practitioner | 305 W. Main Street, Nea Baptist Clinic, Trumann, AR 72472 | 2005-06-16 |
| 1982876728 | Diana Lynn Montgomery | Speech-Language Pathologist | 401 South Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2008-04-01 |
| 1689618746 | Diana Montgomery | Pediatrics | 3905 Sacramento St, Suite 301, San Francisco, CA 94118-1636 | 2006-06-16 |
| Street Address |
60 LONG AVE |
| City | PARSONS |
| State | TN |
| Zip Code | 38363-2429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699750414 | Healing Forms | Prosthetic/Orthotic Supplier | 60 Long Ave, Parsons, TN 38363-2429 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689183196 | Tennessee Quality Homecare, Inc. | Homemaker | 1971 Tennessee Avenue North, Parsons, TN 38363 | 2017-09-27 |
| 1063805968 | Green Crest Assisted Living Centers, Inc. | Assisted Living Facility | 55 Herbert Volner Lane, Parsons, TN 38363 | 2015-03-17 |
| 1538338637 | Anita Ann Gratton | Physical Medicine & Rehabilitation | 969 Tn Ave South, Parsons, TN 38363 | 2008-02-22 |
| 1467561258 | Rehab America Inc | Clinic/Center | 59 Central Ln, Box 397, Parsons, TN 38363 | 2006-08-29 |
| 1972610087 | Amy Johnson Hosea | Occupational Therapist | 135 Jordan Lane, Parsons, TN 38363 | 2006-08-24 |
| 1669495883 | Ammed Inc | Durable Medical Equipment & Medical Supplies | 135 Jordan Ln, Parsons, TN 38363 | 2006-07-26 |
| 1447278221 | Ampharm, Inc. | Pharmacy | 1971 Tennessee Ave N, Parsons, TN 38363 | 2006-07-18 |
| 1396702536 | Tennessee Valley Home Care, Inc. | Home Health | 580 Tennessee Ave N, Parsons, TN 38363 | 2006-05-01 |
| 1811952674 | Decatur County Health Care and Rehabilitation Inc | Nursing Facility/Intermediate Care Facility | 726 Kentucky Ave S, Parsons, TN 38363 | 2006-04-17 |
| 1073587283 | Lisa K Medlin | Nurse Practitioner | 50 Skyline Lane, Parsons, TN 38363 | 2006-02-14 |
| Find all providers in zip 38363 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225679277 | Back Brace Supply LLC | Orthotic Fitter | 670 S White Station Rd, Memphis, TN 38117-4527 | 2019-10-01 |
| 1487962726 | Gary Kent Weaver Jr. | Orthotic Fitter | 348 Trane Dr, Knoxville, TN 37919-6052 | 2010-09-21 |
| 1609075621 | Bobijo Murphy | Orthotic Fitter | 1238 Nw Broad St, Murfreesboro, TN 37129-1713 | 2007-07-11 |
| 1548305501 | Norma Jean Johnson | Orthotic Fitter | 140 Lake Dr., Tiptonville, TN 38079-1359 | 2007-02-20 |
| 1598797045 | Breast Prostheses & Orthotics Inc | Orthotic Fitter | 1850 Edgemont Ave, Bristol, TN 37620-4309 | 2006-07-07 |
| 1942780580 | Matthew D Stimson | Orthotic Fitter | 2435 Jacksboro Pike Ste 3, La Follette, TN 37766-2912 | 2018-08-14 |
| 1073815999 | Wendy D Eaton | Orthotic Fitter | 2150 N Ocoee St, Cleveland, TN 37311-3936 | 2010-11-29 |
| 1821274713 | Penny G Handmacher | Orthotic Fitter | 2030 Chilhowee Medical Park, Maryville, TN 37804-5285 | 2008-01-10 |
| 1942498712 | Scott Moore | Orthotic Fitter | 705 N 2nd St, Suite A, Clarksville, TN 37040-1917 | 2007-10-05 |
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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.