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KIMBERLY DAWN MONTGOMERY AGACNP NPI 1568802940


NPI Information

NPI: 1568802940
Provider Name: KIMBERLY DAWN MONTGOMERY, AGACNP
Classification: Nurse Practitioner - 363LC0200X
Entity Type: Individual

Specialization: Critical Care Medicine

PECOS Registration: Yes

Address:
1400 8TH AVE BLDG C
SUITE 3001
FT WORTH, TX
ZIP 76104
Phone: (817) 922-2173
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Kimberly Dawn Montgomery, AGACNP is a critical care medicine nurse practitioner in Ft Worth, TX with 12 years of experience. Kimberly Dawn Montgomery, AGACNP NPI is 1568802940. 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:

1400 8TH AVE BLDG C
SUITE 3001
FT WORTH, TX
ZIP 76104-110
Phone: (817) 922-2173
Fax: (817) 922-1047

The NPI 1568802940 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour (HCPCS:96365)
  • Injection, ertapenem sodium, 500 mg (HCPCS:J1335)

The enumeration date for this NPI number is 6/28/2013 and was last updated on 8/18/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1364SA2200XClinical Nurse SpecialistAdult Health665885TEXASNo
2363LC0200XNurse PractitionerCritical Care Medicine1074250TEXASYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.