Active NPI
Stephanie Montoya, DO
- Pediatrics Physician
- Lansing, MI
National Provider Identifier
1043879059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5151013625
- Practice address
- 5303 S Cedar St Ste 205
Lansing, MI 48911-3800 - Phone
- (517) 887-4305
- NPI assigned
- Jun 12, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 5151013625 | MI | Primary |
Addresses
Primary practice location
5303 S Cedar St Ste 205
Lansing, MI 48911-3800
Mailing address
PO Box 30161
Lansing, MI 48909-7661
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013625 | MI | MD | Pediatrics Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FHFCCA/Endpoint/FHFCCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1043879059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30161",
"city": "LANSING",
"state": "MI",
"postal_code": "489097661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5303 S CEDAR ST STE 205",
"city": "LANSING",
"state": "MI",
"postal_code": "489113800",
"telephone_number": "517-887-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "STEPHANIE",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5151013625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.