Individual provider Active NPI

Felicia Ann Montanez, NP

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1043357395
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9432331 Issued in FL
Practice address
2318 Manatee Ave W
Bradenton, FL 34205-5432
Phone
(941) 714-7150
Fax
(941) 405-1145
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F333746-1 NY
Family Nurse Practitioner 363LF0000X 9432331 FL Primary

Addresses

Primary practice location

2318 Manatee Ave W
Bradenton, FL 34205-5432

Mailing address

101 Riverfront Blvd Ste 710
Bradenton, FL 34205-8812
Phone (941) 776-4000

Other practice location 1

410 Celebration Pl Ste 208
Celebration, FL 34747-5434
Phone (407) 566-2229

Other identifiers 2

IdentifierTypeStateIssuer
9432331OtherFLFAMILY NP
F333746-1OtherNYSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200521001986 FL Practitioner - Nurse Practitioner 4385805688 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9432331FLMDFamily Nurse Practitioner
F333746-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Family CurrentSince Sep 18, 2024 Accepting new patients
Manatee Gynecology LLC CurrentSince Jun 19, 2023 Accepting new patients
MCR Health, Inc. CurrentSince Sep 18, 2024 Accepting new patients
MCR Health, Inc. Past Accepting new patients
Lisa Nan Freedman MD. PC. Past Accepting new patients

Locations

1110 E Gibson St
Bldg A
Arcadia, FL 34266
Phone (863) 494-4433

1148 E Gibson St
Bldg C
Arcadia, FL 34266
Phone (863) 494-6222

4805 26th St W
Bradenton, FL 34207
Phone (941) 753-7843

1515 26th Ave E
Bradenton, FL 34208
Phone (941) 708-7607

2318 Manatee Ave W
Bradenton, FL 34205
Phone (941) 714-7150

5108 15th St E
Ste 111
Bradenton, FL 34203
Phone (941) 210-7942

2310 60th Street Ct W
Bradenton, FL 34209
Phone (941) 792-4993

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

712 39th St W
Bradenton, FL 34205
Phone (941) 748-4602

6040 State Road 70 E
Unit A
Bradenton, FL 34203
Phone (941) 316-8200

1609 6th Ave E
Bradenton, FL 34208
Phone (413) 481-1689

5325 26th St W
Bradenton, FL 34207
Phone (941) 708-8500

1312 Manatee Ave E
Bradenton, FL 34208
Phone (941) 708-8700

919 53rd Ave E
Bradenton, FL 34203
Phone (941) 751-8100

3501 Cortez Rd W
Ste 1
Bradenton, FL 34210
Phone (941) 909-7007

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

170 N Lime Ave
Sarasota, FL 34237
Phone (941) 867-0127

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBBCBD
  • Direct secure messaging: felicia.montanez.1@11352.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1043357395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIVERFRONT BLVD STE 710",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058812",
            "telephone_number": "941-776-4000",
            "fax_number": "407-566-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055432",
            "telephone_number": "941-714-7150",
            "fax_number": "941-405-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Celebration Pl Ste 208",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475434",
            "country_code": "US",
            "telephone_number": "407-566-2229",
            "fax_number": "075-662-4994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANEZ",
        "first_name": "FELICIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F333746-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9432331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NP",
            "identifier": "9432331",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "F333746-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.