JESSICA MONTGOMERY
NPI 1871112128
Student in an Organized Health Care Education/Training Program in Austin, TX

Q: What is Jessica Montgomery's NPI number?

The NPI number for Jessica Montgomery is 1871112128. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Jessica Montgomery's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 15, 2020PECOS Enrolled

1301 W 38TH ST STE 705, AUSTIN, TX 78705(734) 712-3967 Get Directions Write a Review

NPPES record last updated: June 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 22, 2024, Apr 15, 2020 (2 updates tracked since 2020).

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About Jessica Montgomery NPPES

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

JESSICA MONTGOMERY (NPI 1871112128) is an individual student in an organized health care education/training program in Austin, Texas and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871112128

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameJESSICA MONTGOMERY

Location Address1301 W 38TH ST STE 705Austin, TX 78705-1016

Mailing Address11298 Maple Valley DrPlymouth, MI 48170-6390

Phone(734) 712-3967

Sole ProprietorYes

Enumeration DateApril 15, 2020

Last NPPES UpdateJune 22, 20242 updates tracked since enumeration

NPPES CertifiedJune 22, 2024

✔ NPI 1871112128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1301 W 38TH ST STE 705, Austin, TX 78705

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Montgomery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

MARGARET WHITNEY M.D.

Obstetrics & Gynecology