Jean Montenegro De Vera, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN00160632 Issued in WA

Practice address

815 S Pearl St
Tacoma, WA 98465-2117

Phone

(253) 314-8151

NPI assigned

Feb 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jean Colorado Montenegro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Montevera Pearl Residence LLC

  • Assisted Living Facility (Mental Illness)
  • Tacoma, WA
  • NPI 1003772534
  NPD Authorized official

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1043750987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652117",
            "telephone_number": "253-314-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PEARL ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652117",
            "telephone_number": "253-314-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VERA",
        "first_name": "JEAN",
        "middle_name": "MONTENEGRO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-25",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WA",
            "license": "RN00160632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "MONTENEGRO",
            "middle_name": "COLORADO",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angelica Marie Pancho De la Rosa
• Alondra Samanta De la Torre
• Amber De la Vega, ARNP
• Anthony Angelo De Luca
• Meghan De Luca
• Imelda D. De Villa, M.D.
• Debapriya De, MD
• Jasmin Maria De'Armond
• David Nicholas Deaconson, RN
• Angel Zellean Deal

• Administrator Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Administrator Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.