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Active NPI 1932371804 Individual Practitioner Female Practitioner

Staecy Montgomery , PN

Licensed Practical Nurse • Lees Summit, MO

Professional Overview & Biography Verified Profile Summary

Staecy Montgomery, PN is a registered healthcare professional specializing in Licensed Practical Nurse in Lees Summit, MO. Practice services are available at 417 NE COLONIAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

417 Ne Colonial Ct

Lees Summit, MO 640641917

Telephone 8165038615

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Lees Summit, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
12 Specialists

Practicing in Lees Summit, MO (806 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 MO 2007029746

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 March 31, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 31, 2008

Registered at 417 NE COLONIAL CT, LEES SUMMIT, MO 640641917 (Tel: 8165038615)

📍
Updated Business Mailing Address March 31, 2008

Registered at 417 NE COLONIAL CT, LEES SUMMIT, MO 640641917 (Tel: 8165038615)

👤
Provider Name / Credentials Updated March 31, 2008

Recorded as STAECY MONTGOMERY, PN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2008

Licensed Practical Nurse (License #2007029746 in MO)

🟢
Initial NPI Registration & Enumeration March 31, 2008

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: 1932371804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 31, 2008
Last Update: March 31, 2008
Sole Proprietor: No
Update or Correct Profile

Mailing Address

417 Ne Colonial Ct

Lees Summit, MO 640641917

Phone: 8165038615

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.