JESSICA MONTGOMERY (NPI# 1871112128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871112128 |
| Entity Type | Individual |
| Full Name | JESSICA MONTGOMERY |
| Practice Address |
5333 Mcauley Drive Suite 2110 Ypsilanti MI 48197-8633 |
| Mailing Address |
11298 Maple Valley Dr Plymouth MI 48170-6390 |
| Practice Telephone | 7347123967 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | MI | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801000302 | Jessica Montgomery | Physical Therapist | 365 E Bird Village Rd, Jackson, NJ 08527-4642 | 2007-05-10 |
| 1386278737 | Jessica Nicole Montgomery | Behavior Technician | 600 Arthur St, Knoxville, TN 37921-6405 | 2020-02-25 |
| 1669027405 | Jessica Luanne Montgomery | Physical Therapy Assistant | 831 Tehuacana Hwy, Mexia, TX 76667 | 2019-08-08 |
| 1053963041 | Jessica Meghan Montgomery | Physical Therapist | 30 N 1900 E, Salt Lake City, UT 84132-0002 | 2019-07-10 |
| 1124686639 | Jessica Montgomery | Occupational Therapist | 4305 S Poplar St, Casper, WY 82601-6106 | 2019-05-30 |
| 1063863272 | Jessica L Montgomery | Dentist | 118 E Girard Ave, Cedartown, GA 30125-2712 | 2016-06-29 |
| 1619361490 | Jessica Montgomery | Physical Therapist | 335 E Houghton Ave, West Branch, MI 48661-1127 | 2015-03-19 |
| 1710390026 | Jessica Montgomery | Nurse Practitioner | 3300 Centennial Ln, Ellicott City, MD 21042-3600 | 2014-06-04 |
| 1538500541 | Jessica R Montgomery | Speech-Language Pathologist | 161 Hatcher Ln, Clarksville, TN 37043-5987 | 2013-07-08 |
| 1609132182 | Jessica Maggie Montgomery | Health Educator | 2844 Coloma St, Placerville, CA 95667-4406 | 2012-04-09 |
| Street Address |
5333 MCAULEY DRIVE SUITE 2110 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-8633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705170 | David Paul Steinberg | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2005-10-28 |
| 1225640162 | Nima Mohamoud Abdi | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-08-21 |
| 1619593860 | Salar Daud | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-06-23 |
| 1871116202 | Elliot Michael Berinstein | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-05-20 |
| 1225666373 | Veena Janardan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-04-01 |
| 1427686807 | Grace Elizabeth Chen | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-03-31 |
| 1659909380 | Ann Saliares | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-03-30 |
| 1033747688 | Tori Nicole Diedring | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-03-30 |
| 1306307970 | Karina Andrea Pone | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197 | 2019-03-27 |
| 1205397932 | Marisa Martin | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1548878390 | Mobina Shrestha | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Academic Internal Medicine Clinic, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-07-17 |
| 1790313849 | Cynthia Elizabeth Tetreault | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2120, Ypsilanti, MI 48197-8633 | 2020-04-01 |
| 1144861527 | Naiomi C Wilson | Student in an Organized Health Care Education/Training Program | 4910 Sycamore Dr, Ypsilanti, MI 48197-6107 | 2019-10-07 |
| 1881157311 | Tobias Philip Keeney-bonthrone | Student in an Organized Health Care Education/Training Program | Academic Surgery Clinic, 5333 Mcauley Drive, Suite 2115, Ypsilanti, MI 48197-8633 | 2019-04-11 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1912499104 | Zachary Michael Vigliotti | Student in an Organized Health Care Education/Training Program | 413 W Forest Ave Apt 5, Ypsilanti, MI 48197-8141 | 2018-06-04 |
| 1134625585 | Carter Burson Anderson | Student in an Organized Health Care Education/Training Program | Academic Ob/gyn Clinic, 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2018-04-04 |
| 1841795556 | Ann Elizabeth Hutchison | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2115, Ypsilanti, MI 48197-1097 | 2018-03-26 |
| 1720582794 | Angela Miciura | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Dr Rm 2215, Ypsilanti, MI 48197-1097 | 2018-03-22 |
| Find all providers in YPSILANTI | ||||
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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.