MS. TRACI MONTGOMERY


Address: 2920 Lake Hollow Rd, Hilliard, OH 43026-7977
Phone: 6145631809

MS. TRACI MONTGOMERY (NPI# 1992190037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992190037
Entity Type Individual
Full Name MS. TRACI MONTGOMERY
Practice Address 2920 Lake Hollow Rd
Hilliard
OH 43026-7977
Practice Telephone 6145631809
Mailing Telephone 6145631809
Enumeration Date 2015-04-06
Last Update Date 2016-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN.326149 OH Nursing Service Providers
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
COA.17475-NP OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2920 LAKE HOLLOW RD
City HILLIARD
State OH
Zip Code 43026-7977

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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

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Competitor

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City HILLIARD
Zip Code 43026

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Dataset Information

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.

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