DEIDRA MONTGOMERY
Technician (Personal Care Attendant)

Address: 1402 Lake Washington Rd, Washington, WV 26181-8222

DEIDRA MONTGOMERY (NPI# 1841891538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841891538
Entity Type Individual
Full Name DEIDRA MONTGOMERY
Gender Female
Practice Address 1402 Lake Washington Rd
Washington
WV 26181-8222
Practice Telephone 3044809497
Mailing Telephone 3044809497
Certification Date 2020-11-08
Enumeration Date 2020-11-08
Last Update Date 2020-11-08
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 1402 LAKE WASHINGTON RD
City WASHINGTON
State WV
Zip Code 26181-8222

Providers in the same city

NPI Name Taxonomy Address Enumeration
1881282366 Ileane Clayton Technician · Personal Care Attendant 239 51st St Ne, Washington, DC 20019-5420 2021-01-09
1609464171 Annmarie Fox Jackson Technician · Personal Care Attendant 1500 Mass Ave Nw Apt 236, Washington, DC 20005-1817 2021-01-09
1114515665 Taylor Williams Pharmacist 10 Williams Bros Dr, Washington, IN 47501-4535 2021-01-08
1053909713 Cindy Yoana Zelaya Technician · Personal Care Attendant 6000 13th St Nw Apt 201, Washington, DC 20011-5029 2021-01-07
1598353252 Therese Anne Marocco Registered Nurse 61838 Spring Circle Trl, Washington, MI 48094-1146 2021-01-07
1427646330 Cynthia Gail Crockett Counselor · Professional 1715 Taylor St Ne, Washington, DC 20017-3038 2021-01-06
1265020101 Marisa Joy Wiswell Nurse Practitioner · Acute Care 110 Irving St Nw Ste 4b49, Washington, DC 20010-3017 2021-01-06
1558959676 Lydia Ferguson I Home Health Aide 816 Decatur St Nw, Washington, DC 20011-4512 2021-01-05
1427646553 Ricky Vonwergers Home Health Aide 2429 Good Hope Rd Se, Washington, DC 20020-3403 2021-01-05
1386232478 Reesha-Ann Melody Martin Social Worker · School 2335 Raynolds Pl Se, Washington, DC 20020-3246 2021-01-05
Find all providers in WASHINGTON

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881282366 Ileane Clayton 239 51st St Ne, Washington, DC 20019-5420 2021-01-09
1609464171 Annmarie Fox Jackson 1500 Mass Ave Nw Apt 236, Washington, DC 20005-1817 2021-01-09
1053909713 Cindy Yoana Zelaya 6000 13th St Nw Apt 201, Washington, DC 20011-5029 2021-01-07
1538757885 Ezekiel Adoh 2339 25th St Se Apt 104, Washington, DC 20020-3434 2021-01-04
1447848817 Cassandra Boateng 903 21st St Ne Apt 101, Washington, DC 20002-4170 2021-01-01
1558959908 Hamziya Mussa Fonoro 461 H St Nw Apt 310, Washington, DC 20001-4702 2020-12-31
1871180307 Annie Thomas 11 Channing St Ne, Washington, DC 20002-1003 2020-12-30
1659968345 Tracy Thomas 822 Barnaby St Se Apt 304, Washington, DC 20032-3957 2020-12-29
1770170508 Damerris Benjamin 237 33rd St Ne, Washington, DC 20019-1308 2020-12-28
1821684176 Candace Purdie 2220 Bryan Pl Se # B2, Washington, DC 20020-4920 2020-12-21
Find all providers in WASHINGTON

Competitor

Search similar providers

City WASHINGTON
Zip Code 26181

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.