LISA R MONTGOMERY (NPI# 1871125302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871125302 |
| Entity Type | Individual |
| Full Name | LISA R MONTGOMERY |
| Practice Address |
640 Wright Ave Bowling Green KY 42103-1623 |
| Practice Telephone | 2704954323 |
| Mailing Telephone | 2704954323 |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | KY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695863 | Lisa Montgomery | Nurse Practitioner | 1411 N Beckley Ave, Pavilion IIi, Suite 152, Dallas, TX 75203-1259 | 2017-01-09 |
| 1811332950 | Lisa Montgomery | Student in an Organized Health Care Education/Training Program | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2013-05-02 |
| 1558675199 | Lisa K Montgomery | Nurse Practitioner | 704 N 3rd St, Plainview, NE 68769-2047 | 2010-08-05 |
| 1457523631 | Lisa Montgomery | Speech-Language Pathologist | 1210 13th St, Parkersburg, WV 26101-4144 | 2008-03-28 |
| 1639253347 | Lisa Montgomery | Physician Assistant | 101 S. Liberty Street, Russiaville, IN 46979 | 2006-10-25 |
| 1811915226 | Lisa Nichole Montgomery | Counselor | 3120 E Main St, Columbus, OH 43209-3707 | 2006-07-17 |
| Street Address |
640 WRIGHT AVE |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508976192 | Alice Stiles | Social Worker | 640 Wright Ave, Bowling Green, KY 42103-1679 | 2006-08-30 |
| 1821585217 | Shelby Whitt | Case Manager/Care Coordinator | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2018-04-20 |
| 1710411251 | Caleb Michael Harper | Counselor | 640 Wright Ave, Bowling Green, KY 42103 | 2017-04-11 |
| 1114376407 | Rebecca Kerr | Social Worker | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2016-06-07 |
| 1992963862 | Elyssa Marie Mckinney | Dentist | 640 Wright Ave, Bowling Green, KY 42103-1623 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| 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 |
|---|---|---|---|---|
| 1518591908 | Sabrina Lee Stapp | Case Manager/Care Coordinator | 1500 Parkside Dr, Bowling Green, KY 42101-2756 | 2020-02-25 |
| 1437581535 | Linda Wray Wilson | Case Manager/Care Coordinator | 18095 Harding Dr, Bowling Green, VA 22427-2213 | 2013-07-31 |
| 1023393998 | Steven Cheatham | Case Manager/Care Coordinator | 729 Glen Lily Rd, Bowling Green, KY 42101-2733 | 2011-10-11 |
| 1356500276 | Elizabeth Gail Lock | Case Manager/Care Coordinator | 60 Bush Ct, Bowling Green, KY 42104-7816 | 2008-06-05 |
| 1861681256 | Lee Humphrey | Case Manager/Care Coordinator | 380 Suwannee Trail, Bowling Green, KY 42103 | 2007-10-22 |
| 1174715700 | Valerie Renee Jones | Case Manager/Care Coordinator | 1008 Homestead Ct, Bowling Green, KY 42104-4121 | 2007-08-17 |
| 1013109016 | Kay Mackenzie | Case Manager/Care Coordinator | 1502 Westen St, Suite 1, Bowling Green, KY 42104-5804 | 2007-08-14 |
| 1740498039 | Nancy Lou Akins | Case Manager/Care Coordinator | 3435 Garrett Hollow Rd, Bowling Green, KY 42101-6554 | 2007-05-18 |
| 1467571059 | Crystal Love | Case Manager/Care Coordinator | 853 Peachtree Ln, Bowling Green, KY 42103-7052 | 2007-03-28 |
| 1881210789 | Rachel Carroll | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2020-06-17 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
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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.