KERRI MONTGOMERY (NPI# 1366994782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366994782 |
| Entity Type | Individual |
| Full Name | KERRI MONTGOMERY |
| Practice Address |
207d Colegate Dr Marietta OH 45750-2363 |
| Practice Telephone | 7403760930 |
| Practice Fax Number | 7403760933 |
| Mailing Telephone | 7403760930 |
| Mailing Fax Number | 7403760933 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.128836.MEDS | OH | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215580402 | Kerri Montgomery | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2019-07-17 |
| Street Address |
207D COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366479784 | Lisa Kaye La Du | Social Worker | 207d Colegate Dr, Marietta, OH 45750 | 2006-06-28 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1285232017 | Madison F Anderson | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-14 |
| 1144835232 | Haley N Vanoster | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-09-15 |
| 1568075414 | Olivia A Ashcraft | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1114530169 | Alexandria R Westfall | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1003433939 | Erin S Godfrey | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-26 |
| 1942826854 | Philip L Tice | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-17 |
| 1982228326 | Brady Ohrn | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992280028 | Ronda Frank | Licensed Practical Nurse | 2583 Kamm Rd, Marietta, NY 13110-3119 | 2018-09-25 |
| 1134618309 | Aja Monique Styles | Licensed Practical Nurse | 2702 Station Club Dr Sw, Marietta, GA 30060-7520 | 2018-05-03 |
| 1538657994 | Raelynn Marie Kelly | Licensed Practical Nurse | 1955 Bells Ferry Rd Apt 4322, Marietta, GA 30066-7014 | 2018-05-01 |
| 1124531991 | Advance Home Care & Medical Services, Inc. | Licensed Practical Nurse | 1109 Garrison Plantation Dr Se, Marietta, GA 30060-3145 | 2017-11-14 |
| 1497297329 | Bernice Ellis-veal | Licensed Practical Nurse | 2238 Nantucket Ct Ne, Marietta, GA 30066-2128 | 2016-11-09 |
| 1871962159 | Angela Kay Gillespie | Licensed Practical Nurse | 1338 Colegate Dr, Marietta, OH 45750-1329 | 2015-09-17 |
| 1003257528 | Daniel J Mcmahan | Licensed Practical Nurse | 118 Brant Dr, Marietta, OH 45750-9482 | 2013-07-12 |
| 1538502570 | T. Miles | Licensed Practical Nurse | 1675 Roswell Rd, #1616, Marietta, GA 30062-3662 | 2013-04-09 |
| 1891051520 | Virginia Gale Milligan | Licensed Practical Nurse | 405 Fearing St, Marietta, OH 45750-2822 | 2012-04-06 |
| 1154604015 | Samara Robertson | Licensed Practical Nurse | 2107 Station Club Dr Sw, Marietta, GA 30060-7517 | 2011-09-27 |
| Find all providers in MARIETTA | ||||
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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.