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Active NPI 1033576954 Individual Practitioner Female Practitioner

Sandra Montgomery

Licensed Practical Nurse • Grosse Pointe, MI

Professional Overview & Biography Verified Profile Summary

Sandra Montgomery is a registered healthcare professional specializing in Licensed Practical Nurse in Grosse Pointe, MI. Practice services are available at 18960 MOON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18960 Moon St

Grosse Pointe, MI 482362026

Telephone 3132837311

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Grosse Pointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Grosse Pointe, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703112683

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 22, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 22, 2016

Registered at 18960 MOON ST, GROSSE POINTE, MI 482362026 (Tel: 3132837311)

📍
Updated Business Mailing Address January 22, 2016

Registered at 18960 MOON ST, GROSSE POINTE, MI 482362026 (Tel: 3132837311)

👤
Provider Name / Credentials Updated January 22, 2016

Recorded as SANDRA MONTGOMERY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2016

Licensed Practical Nurse (License #4703112683 in MI)

🟢
Initial NPI Registration & Enumeration January 22, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033576954
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2016
Last Update: January 22, 2016
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

18960 Moon St

Grosse Pointe, MI 482362026

Phone: 3132837311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.