AUTUMN KATHRYN MONTGOMERY (NPI# 1770065187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770065187 |
| Entity Type | Individual |
| Full Name | AUTUMN KATHRYN MONTGOMERY |
| Credential | FNP-C |
| Practice Address |
6041 Sw 54th St Ste 200 Ocala FL 34474-5521 |
| Practice Telephone | 3528578417 |
| Practice Fax Number | 3524141324 |
| Mailing Telephone | 3528578417 |
| Mailing Fax Number | 3524141324 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
11002221 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28218738A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL DOH | APRN11002221 | 01 |
| Street Address |
6041 SW 54TH ST STE 200 |
| City | OCALA |
| State | FL |
| Zip Code | 34474-5521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124092374 | Joanne Kitson | Internal Medicine | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2006-02-15 |
| 1295352185 | Erica Clipps | Nurse Practitioner | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2020-06-26 |
| 1447794789 | Lindsey Taylor Simmons | Nurse Practitioner | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2016-12-06 |
| 1942662192 | David Strossner | Family Medicine | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2016-03-27 |
| 1487014478 | Monica Rae Traylor | Physician Assistant | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2016-03-03 |
| 1609251685 | Elyaman Medical Services Pa | Podiatrist | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2015-07-20 |
| 1215311196 | Phillips Nagsuk | General Practice | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2015-07-10 |
| 1164815148 | Inga Gorokhov | Physician Assistant | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2015-03-14 |
| 1629484381 | David Nicholas Navetta | Physician Assistant | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2014-07-02 |
| 1376773408 | Courtney Michele Kerr | Nurse Practitioner | 6041 Sw 54th St Ste 200, Ocala, FL 34474-5521 | 2009-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125167 | Hailey Roberts | Behavior Technician | 2202 Sw 20th Pl #302, Ocala, FL 34474 | 2019-07-03 |
| 1912560632 | La-sheria R Mcleod | Licensed Practical Nurse | 3240 Sw 34th St Apt 908, Ocala, FL 34474 | 2019-04-18 |
| 1043700792 | Clinical Positron Emission Tomography LLC | Clinic/Center | 3233 Sw 33rd Rd Ste 301, Ocala, FL 34474 | 2018-05-17 |
| 1861981896 | The Orthopaedic Institute, Pa | Emergency Medicine | 4600 Sw 46th Ct Ste 220, Ocala, FL 34474 | 2018-05-04 |
| 1790273738 | Sharma Institute of Pain Medicine | Physical Medicine & Rehabilitation | 3221 Sw 33rd Road, Suite 100, Ocala, FL 34474 | 2018-04-25 |
| 1841703337 | Stephanie E Nunes | Nurse Practitioner | 3131 Sw College Rd Ste 405, Ocala, FL 34474 | 2017-11-07 |
| 1316457013 | Holli Dobson Molina | Nurse Practitioner | 5200 Sw 31st St, Ocala, FL 34474 | 2017-10-07 |
| 1063964690 | Mary Aguilar | Specialist/Technologist, Other | 4900 Sw 46th Ct Apto 1406, Ocala, FL 34474 | 2016-10-31 |
| 1649725326 | Colby Beck | Physician Assistant | 3210 Sw 33rd Rd Ste 101, Ocala, FL 34474 | 2016-08-23 |
| 1881053031 | Jeanette M Hall | Pharmacist | 3130 Sw 32nd Ave., Ocala, FL 34474 | 2016-02-16 |
| Find all providers in zip 34474 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525300 | Panzer Concierge Medicine LLC | Nurse Practitioner | 2880 Se 31st St, Ocala, FL 34471-6252 | 2020-10-12 |
| 1558973511 | Casey Shea Chapman | Nurse Practitioner | 2211 Se 73rd St, Ocala, FL 34480-6201 | 2020-08-20 |
| 1831700368 | Jaime Renee Howland | Nurse Practitioner | 3333 Ne 32nd Ave, Ocala, FL 34479-3098 | 2020-08-10 |
| 1265057798 | Angelika Marie Agudelo | Nurse Practitioner | 4315 Se 60th St, Ocala, FL 34480-7749 | 2020-06-10 |
| 1184247157 | Joanne Caridad Blanco Lebosada | Nurse Practitioner | 4707 Sw 62nd Pl, Ocala, FL 34474-4786 | 2020-05-25 |
| 1235758046 | Rolla Pierre | Nurse Practitioner | 2592 Sw 156th Pl, Ocala, FL 34473-3493 | 2020-04-11 |
| 1215569868 | Victoria Tuten | Nurse Practitioner | 1850 Se 18th Ave Apt 1905, Ocala, FL 34471-8259 | 2020-02-11 |
| 1891332227 | Lenora Everett-gayle | Nurse Practitioner | 4401 Sw 171st Pl, Ocala, FL 34473-5082 | 2019-12-04 |
| 1801444559 | Dee Demetrius Lewis | Nurse Practitioner | 2015 Ne 12th Pl, Ocala, FL 34470-4734 | 2019-08-27 |
| 1033771563 | Brooke Wacker | Nurse Practitioner | 17825 Sw 31st Ave, Ocala, FL 34473-4550 | 2019-07-04 |
| Find all providers in OCALA | ||||
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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.