LACRISTA MONTGOMERY SPECIALUST
NPI 1710505649
Specialist - Prosthetics Case Management in Tupelo, MS

Active since July 07, 2020
811 GARFIELD ST, TUPELO, MS 38801(662) 422-6044 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lacrista Montgomery Specialust NPPES

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

LACRISTA MONTGOMERY SPECIALUST (NPI 1710505649) is an individual prosthetics case management provider in Tupelo, Mississippi, licensed in Mississippi (0059659) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1710505649
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameLACRISTA MONTGOMERYCredential: SPECIALUST
Location Address811 GARFIELD STTupelo, MS 38801-5748
Mailing Address142 Woodgreen Rd Apt 23Plantersville, MS 38862-9709
Sole ProprietorYes
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
NPI 1710505649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License Licensed in MS · 0059659
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
811 GARFIELD ST, Tupelo, MS 38801

Other Identifiers 1

Other0059659MS · Specialist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Allergy & Immunology
811 GARFIELD ST
TUPELO, MS 38801
Family Medicine (Adult Medicine)
811 GARFIELD ST
TUPELO, MS 38801
Nurse Practitioner (Family)
811 GARFIELD ST
TUPELO, MS 38801
Nurse Practitioner
811 GARFIELD ST
TUPELO, MS 38801
Allergy & Immunology
811 GARFIELD ST
TUPELO, MS 38801
Allergy & Immunology
811 GARFIELD ST
TUPELO, MS 38801
Nurse Practitioner (Family)
811 GARFIELD ST
TUPELO, MS 38801

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 Lacrista Montgomery's NPI number?

The NPI number for Lacrista Montgomery is 1710505649. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Lacrista Montgomery located?

Lacrista Montgomery practices at 811 Garfield St, Tupelo, MS 38801. The listed phone number is (662) 422-6044.

What is Lacrista Montgomery's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Lacrista Montgomery was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.