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1700893690 NPI number — KARLA RENEE JONES-MONTGOMERY MD

NPI Number: 1700893690
Health Care Provider/Practitioner: KARLA RENEE JONES-MONTGOMERY MD

Information about “1700893690” NPI (KARLA RENEE JONES-MONTGOMERY MD) exists in 1700893690 in HTML format HTML  |  1700893690 in plain Text format TXT  |  1700893690 in PDF (Portable Document Format) PDF  |  1700893690 in an XML format XML  formats.

NPI Number : 1700893690 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700893690",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JONES-MONTGOMERY",
    "FirstName": "KARLA",
    "MiddleName": "RENEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MONTGOMERY",
    "OtherFirstName": "KARLA",
    "OtherMiddleName": "J",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "MD",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "13620 DOVER CV",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72117-5363",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-961-2922",
    "MailingAddressFaxNumber": "501-332-7044",
    "FirstLinePracticeLocationAddress": "4300 W 7TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LITTLE ROCK",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72205-5484",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-257-5072",
    "PracticeLocationAddressFaxNumber": "501-332-7044",
    "EnumerationDate": "08/02/2006",
    "LastUpdateDate": "11/06/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207P00000X",
          "TaxonomyName": "Emergency Medicine Physician",
          "LicenseNumber": "E-3005",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "282N00000X",
          "TaxonomyName": "General Acute Care Hospital",
          "LicenseNumber": "E3005",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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