Active NPI
Stephen Paul Montoure, CDPT
- Peer Specialist
- Aberdeen, WA
National Provider Identifier
1003370883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 224 E Wishkah St
Aberdeen, WA 98520-6513 - Phone
- (360) 532-9050
- NPI assigned
- Jan 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
224 E Wishkah St
Aberdeen, WA 98520-6513
Mailing address
516 E. 1St St.
Aberdeen, WA 98520
Phone (877) 774-6565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1003370883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "516 E. 1ST ST.",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "98520",
"telephone_number": "877-774-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 E WISHKAH ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985206513",
"telephone_number": "360-532-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOURE",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"credential": "CDPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-25",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.