ANNELIESE MONTGOMERY (NPI# 1730704842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730704842 |
| Entity Type | Individual |
| Full Name | ANNELIESE MONTGOMERY |
| Credential | BSW |
| Practice Address |
708 Westport Rd Ste 103 Elizabethtown KY 42701-2866 |
| Mailing Address |
10100 Elida Rd Delphos OH 45833-9058 |
| Practice Telephone | 2707661397 |
| Practice Fax Number | 2707359848 |
| Mailing Telephone | 4196958010 |
| Mailing Fax Number | 4196950004 |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
708 WESTPORT RD STE 103 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548352156 | Suresh Babu Kodali | Psychiatry & Neurology | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2006-09-29 |
| 1477178051 | Ashley Miller | Social Worker | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2020-06-10 |
| 1871128124 | Christy Jo Lumpkins | Case Manager/Care Coordinator | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2020-03-06 |
| 1134774557 | Margaret Bennett | Social Worker | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2019-08-02 |
| 1679131940 | Morgan Ashabraner | Social Worker | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2019-06-03 |
| 1437592334 | Diane L Herrera | Social Worker | 708 Westport Rd Ste 103, Elizabethtown, KY 42701-2866 | 2013-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265052823 | Mary Elizabeth Durgan | Case Manager/Care Coordinator | Essex County Health Department, Childrens Service Unit 132 Water Street, Elizabethtown, NY 12932 | 2020-04-23 |
| 1437624814 | Renest Recovery Support Services | Case Manager/Care Coordinator | 226 Adams Rd Apt A, Elizabethtown, KY 42701-1061 | 2018-10-11 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1699144006 | Sunday Sue Clauson | Case Manager/Care Coordinator | 2022 Oak Meadow Dr, Elizabethtown, KY 42701-5501 | 2015-09-16 |
| 1912375130 | Olive Branch Integrated Care Services | Case Manager/Care Coordinator | 200 W Broad St, Elizabethtown, NC 28337-9303 | 2015-09-03 |
| 1629479878 | Roberta Payne | Case Manager/Care Coordinator | 2935 Dolphin Dr Bldg 21, Elizabethtown, KY 42701-4111 | 2014-09-08 |
| 1386066793 | Lucy J Dunford | Case Manager/Care Coordinator | 219 Poplar Trce, Elizabethtown, KY 42701-8087 | 2014-01-21 |
| 1902194137 | Christina Lynn Abel | Case Manager/Care Coordinator | 3786 S Dixie Hwy, Elizabethtown, KY 42701-8339 | 2011-07-21 |
| 1851545552 | Susan Smith Sneed | Case Manager/Care Coordinator | 1014 Navaho Dr, Elizabethtown, KY 42701-2023 | 2008-11-07 |
| 1649463100 | Nancy Claycomb Hazle | Case Manager/Care Coordinator | 805 Dogwood Pl, Elizabethtown, KY 42701-2189 | 2007-08-19 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
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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.