CHARISSA MONTGOMERY NPI 1326558503

NPI Information

NPI: 1326558503
Provider Name: CHARISSA MONTGOMERY
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: TEMPLE FACULTY PRACTICE PLAN INC

PECOS Registration: Yes

Address:
333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111
Phone: (215) 728-6900
Get Directions

Charissa Montgomery is a family nurse practitioner in Philadelphia, PA with 7 years of experience. Charissa Montgomery NPI is 1326558503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

333 COTTMAN AVE
PHILADELPHIA, PA
ZIP 19111-434
Phone: (215) 728-6900

The NPI 1326558503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 2/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	RN600680	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	SP018178	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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