Shelly Montante, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024174983 Issued in VA

Practice address

5706 Grove Ave Ste 201
Richmond, VA 23226-2346

Phone

(804) 325-4795

NPI assigned

Jan 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1043755861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "STE 100",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232297625",
            "telephone_number": "804-928-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 GROVE AVE STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262346",
            "telephone_number": "804-325-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7605 Forest Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232294936",
            "country_code": "US",
            "telephone_number": "804-928-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANTE",
        "first_name": "SHELLY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174983",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0017144062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mauricio Ricardo Monrroy Prado, M.D.
• David L. Montague, M.D.
• Amanda Pillis Montalto, MPT
• Catherine Christine Montalvo
• Montante Plastic Surgery & Aesthetics, LLC
• Steven J Montante, MD
• Brady Montas, LICSW
• Montavix Inc
• Ildefonso C. Monteiro, M.D.
• Jaclyn S Monteiro, OTR

• Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.