Active NPI
Tania I Montanez, TOBACCO TREATMENT CO
- Technician
- Worcester, MA
National Provider Identifier
1104058999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- Practice address
- 19 Tacoma St
Worcester, MA 01605-3516 - Phone
- (508) 852-1805
- Fax
- (508) 853-8593
- NPI assigned
- Aug 13, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Technician | 374700000X | Primary |
Addresses
Primary practice location
19 Tacoma St
Worcester, MA 01605-3516
Mailing address
19 Tacoma St
Worcester, MA 01605-3516
Phone (508) 852-1805
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1301071 | Other | MA | GBVHC MEDICAID GROUP # |
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": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1104058999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TACOMA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053516",
"telephone_number": "508-852-1805",
"fax_number": "508-853-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 TACOMA ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016053516",
"telephone_number": "508-852-1805",
"fax_number": "508-853-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ",
"first_name": "TANIA",
"middle_name": "I",
"credential": "TOBACCO TREATMENT CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GBVHC MEDICAID GROUP #",
"identifier": "1301071",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.