IndividualActive
Lacrista Montgomery, SPECIALUST
NPI 1710505649 · Prosthetics Case Management · Tupelo, MS
Provider details
- NPI number
- 1710505649
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- SPECIALUST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0059659 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
811 Garfield St
Tupelo, MS 38801-5748
Phone: (662) 422-6044
Street-level locationGet directions
Mailing address
142 Woodgreen Rd Apt 23
Plantersville, MS 38862-9709
Registry dates
- Enumerated
- 2020-07-07
- Last updated
- 2020-07-07
- Certified
- 2020-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.