Active NPI
Valerie Rose Monterrey, CPM
- Midwife
- Erie, PA
National Provider Identifier
1124281340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 06030015
- Practice address
- 208 Longacre Ave
Erie, PA 16509-1552 - Phone
- (814) 392-2277
- Fax
- (814) 864-5183
- NPI assigned
- Jul 8, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | 06030015 | MD | Primary |
| Midwife | 176B00000X | 0129000072 | VA |
Addresses
Primary practice location
208 Longacre Ave
Erie, PA 16509-1552
Mailing address
208 Longacre Ave
Erie, PA 16509-1552
Phone (814) 392-2277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0129000072 | Other | VA | COMMONWEALTH OF VIRGINIA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06030015 | MD | MD | Midwife |
| 0129000072 | VA | MD | Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1124281340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LONGACRE AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165091552",
"telephone_number": "814-392-2277",
"fax_number": "814-864-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LONGACRE AVE",
"city": "ERIE",
"state": "PA",
"postal_code": "165091552",
"telephone_number": "814-392-2277",
"fax_number": "814-864-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERREY",
"first_name": "VALERIE",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "CPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-08",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MD",
"license": "06030015",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "VA",
"license": "0129000072",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA",
"identifier": "0129000072",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.