1. Home
  2. Directory
  3. Florida
  4. Lakeland
  5. Clinic Center
  6. NPI Profile

SHACOYA MONTGOMERY
NPI 1316416381
Clinic/Center - Developmental Disabilities in Lakeland, FL

Active since November 19, 2018
3909 SANDHILL CRANE DR, LAKELAND, FL 33811(863) 617-5840 Get Directions Write a Review

NPPES record last updated: November 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shacoya Montgomery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHACOYA MONTGOMERY (NPI 1316416381) is an individual developmental disabilities provider in Lakeland, Florida and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1316416381
Entity TypeIndividualFemale
Primary Taxonomy261QD1600X
Provider Legal NameSHACOYA MONTGOMERY
Location Address3909 SANDHILL CRANE DRLakeland, FL 33811-1862
Mailing Address3909 Sandhill Crane DrLakeland, FL 33811-1862 · (863) 617-5840
Phone(863) 617-5840
Sole ProprietorYes
Enumeration DateNovember 19, 2018
✔ NPI 1316416381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
3909 SANDHILL CRANE DR, Lakeland, FL 33811
Open in Google Maps ↗

Other Identifiers 1

Medicaid824729967FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AWESOME ANGELS OF CHANGE LLC
Clinic/Center (Developmental Disabilities)
3909 SANDHILL CRANE DR
LAKELAND, FL 33811
Polk County (863) 617-5840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shacoya Montgomery's NPI number?

The NPI number for Shacoya Montgomery is 1316416381. It was assigned to this individual provider in the NPPES registry on November 19, 2018.

Where is Shacoya Montgomery located?

Shacoya Montgomery practices at 3909 Sandhill Crane Dr, Lakeland, FL 33811. The listed phone number is (863) 617-5840.

What is Shacoya Montgomery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Shacoya Montgomery was last updated on November 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.