KELLY NICOLE MONTGOMERY FNP NPI 1609466770

NPI Information

NPI: 1609466770
Provider Name: KELLY NICOLE MONTGOMERY, FNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3591 RESERVE COMMONS DR STE 100
MEDINA, OH
ZIP 44256
Phone: (216) 450-1613
Get Directions

Kelly Nicole Montgomery, FNP is a psychiatric/mental health nurse practitioner in Medina, OH with 4 years of experience. Kelly Nicole Montgomery, FNP NPI is 1609466770. 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:

3591 RESERVE COMMONS DR STE 100
MEDINA, OH
ZIP 44256-334
Phone: (216) 450-1613
Fax: (216) 450-1614

The NPI 1609466770 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 1/22/2021 and was last updated on 2/23/2021.

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	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0028297	OHIO	No
2	363L00000X	Nurse Practitioner		APRN.CNP.0028297	OHIO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.0028297	OHIO	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: 4/28/2024

NPI Synchronization or Removal

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