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 Address 1402 Lake Washington Rd
Washington
WV 26181-8222
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 Grouping
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 location

NPI Name Taxonomy Address Enumeration
1003496605 Nicole Cobb Technician - Personal Care Attendant 1402 Lake Washington Rd, Washington, WV 26181-8222 2021-04-09

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1629541156 Danielle Nicole Floyd Physical Therapy Assistant 216 Suzanne St, Washington, WV 26181-3541 2019-01-08
1265943872 Heather Moore Technician - Personal Care Attendant 124 Karen St, Washington, WV 26181-3574 2017-10-23
1700482288 Makala Wolfe Technician - Personal Care Attendant 52 Mccormick Rd, Washington, WV 26181-3588 2020-12-09
1720687940 Amanda Tucker Technician - Personal Care Attendant 174 Lucille Ln, Washington, WV 26181-3615 2020-10-19
1295340842 Misty Felter Technician - Personal Care Attendant 78 Mount Vernon Dr, Washington, WV 26181-4607 2020-09-10
1316558455 Amber Dawn Dulaney Technician - Personal Care Attendant 5335 Harris Hwy, Washington, WV 26181-5338 2020-08-12
1780158873 Clinicians In Telemedicine LLC Internal Medicine 1678 Beeman Rd, Washington, WV 26181-5360 2019-01-11
1528677606 David Tyler Parrish Technician - Personal Care Attendant 2452 Meldahl Rd, Washington, WV 26181-6424 2020-07-24
1619570355 Joseph Rice Technician - Personal Care Attendant 1294 Lakewood Cir, Washington, WV 26181-8008 2020-11-17
1205437993 Rhonda Allman Technician - Personal Care Attendant 3118 Harris Hwy, Washington, WV 26181-8709 2020-11-08
Find all providers in zip 26181

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
1750962130 Jacob I Bond Technician - Personal Care Attendant 3476 23rd St Se, Washington, DC 20020-1922 2021-04-18
1538740089 Calvin Taylor Jr. Technician - Personal Care Attendant 449 Burbank St Se, Washington, DC 20019-4241 2021-04-16
1518548114 Imani Nashae Hawkins Technician - Personal Care Attendant 901 H St Ne Apt 418, Washington, DC 20002-6993 2021-04-16
1396326799 Deborah Washington Technician - Personal Care Attendant 611 Edgewood St Ne Apt 707, Washington, DC 20017-4239 2021-04-16
1124609946 Charmaine Belvin Technician - Personal Care Attendant 355 I St Sw # S-515, Washington, DC 20024-4230 2021-04-15
1700467313 Jessica Blackwell Technician - Personal Care Attendant 150 Q St Ne, Washington, DC 20002-2366 2021-04-15
1164003778 Lisa Haythe Technician - Personal Care Attendant 2529 14th St Ne Apt 1, Washington, DC 20018-1934 2021-04-15
1154902955 Kelen Alexandria Lindie Technician - Personal Care Attendant 1911 I St Ne Apt 1, Washington, DC 20002-4146 2021-04-14
1265013056 Hector Bonilla-Cuevas Technician - Personal Care Attendant 3801 Hansberry Ct Ne, Washington, DC 20018-3818 2021-04-14
1134700925 Janay Kittrell · N/A N/A N/A Technician - Personal Care Attendant 150 Q St Ne # Be, Washington, DC 20002-2366 2021-04-14
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.

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