HEATHER COLLINS MONTGOMERY (NPI# 1629203310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629203310 |
| Entity Type | Individual |
| Full Name | HEATHER COLLINS MONTGOMERY |
| Credential | FNP |
| Practice Address |
6106 Shallowford Rd Ste 104 Chattanooga TN 37421 |
| Mailing Address |
6106 Shallowford Rd Ste 104 Chattanooga TN 37421-2280 |
| Practice Telephone | 4238021919 |
| Practice Fax Number | 4232696178 |
| Mailing Telephone | 4238021919 |
| Mailing Fax Number | 4232696178 |
| Enumeration Date | 2009-05-25 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14126 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APN0000014126 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 130529501F | 05 | |
| TN | 1517467 | 05 | |
| ANCC CERTIFICATION | 2009001637 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3905 Webb Rd, Chattanooga, TN 374161839 | 4235214776 | 4235214781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639731268 | Heather Montgomery | Nurse Practitioner | 23 North St Ste 2, Presque Isle, ME 04769-2295 | 2019-07-03 |
| 1699012351 | Heather Montgomery | Behavioral Analyst | 6901 Hansell Rd, 6414, Plano, TX 75024-4214 | 2013-01-14 |
| 1487072716 | Heather Montgomery | Physical Therapist | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 | 2014-04-03 |
| 1841575958 | Heather Montgomery | Pharmacist | 9801 Manchaca Rd, Austin, TX 78748-6212 | 2011-10-20 |
| 1326278466 | Heather Johnson Montgomery | Nurse Practitioner | 103 Professional Park Ste A, Oxford, NC 27565-2581 | 2009-07-23 |
| 1427059559 | Heather Jean Montgomery | Family Medicine | 110 Hospital Rd, Suite 111, Prince Frederick, MD 20678-4019 | 2005-08-10 |
| Street Address |
6106 SHALLOWFORD RD STE 104 |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518942341 | Anthony Avitabile Jr. | Family Medicine | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421-2280 | 2005-12-14 |
| 1538799960 | Alyson Victoria Marter | Family Medicine | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421-2280 | 2020-01-24 |
| 1427554492 | Rivercity Family Medicine, Pllc | Family Medicine | 6106 Shallowford Rd Ste 104, Chattanooga, TN 37421-2280 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
| 1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
| 1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
| 1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
| 1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
| 1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
| 1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
| 1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
| Find all providers in zip 37421 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828692 | Michelle Colby | Nurse Practitioner | 1050 Givens Rd, Chattanooga, TN 37421-4370 | 2020-07-20 |
| 1750999553 | Julia Clare Cervantes Aguilar | Nurse Practitioner | 3756 Knollwood Dr, Chattanooga, TN 37415-4203 | 2020-07-17 |
| 1447876743 | Cathleen Marie Cornett | Nurse Practitioner | 979 E 3rd St Ste C-300, Chattanooga, TN 37403-2136 | 2020-06-23 |
| 1487279139 | Roxy Gazaway | Nurse Practitioner | 721 Glenwood Dr Ste W560, Chattanooga, TN 37404-1129 | 2020-06-09 |
| 1801410253 | Stacey Buckner | Nurse Practitioner | 207 Booth Rd, Chattanooga, TN 37411-2702 | 2020-06-02 |
| 1073158630 | Jerry Lynn Reed Jr. | Nurse Practitioner | 7480 Ziegler Rd Ste 150, Chattanooga, TN 37421-4947 | 2019-11-07 |
| 1508411729 | Jerin C Alexander | Nurse Practitioner | 6918 Shallowford Rd Ste 226, Chattanooga, TN 37421-1552 | 2019-08-05 |
| 1295388841 | Ann Mercy Binoy | Nurse Practitioner | 425 Cumberland St # 110, Chattanooga, TN 37404-1909 | 2019-07-23 |
| 1528610466 | Kristina Wagner Daly | Nurse Practitioner | 504 E 17th St, Chattanooga, TN 37408-2107 | 2019-07-11 |
| 1023679909 | Megan Elizabeth Coffey | Nurse Practitioner | 3321 Montview Dr, Chattanooga, TN 37411-3524 | 2019-06-22 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37421 |
Please comment or provide details below to improve the information on HEATHER COLLINS MONTGOMERY.
| 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.