Kaylene Marie Montierth

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA10567 Issued in AZ

Practice address

4100 S Lindsay Rd Ste 113
Gilbert, AZ 85297-1507

Phone

(480) 219-3953

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kaylene Marie Idso Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124548904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD STE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971507",
            "telephone_number": "480-219-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 S LINDSAY RD STE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971507",
            "telephone_number": "480-219-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIERTH",
        "first_name": "KAYLENE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLENE",
            "last_name": "IDSO",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Montebello Health and Wellness Care, LLC
• Jessica Ann Montes de Oca, FNP
• Adeline Cheri Montgomery, SLPA
• Derek Montgomery
• Victoria Montgomery, PT, DPT
• William Charles Montignani VI
• Carra Montijo, PNP
• Michael Montoya, AGACNP
• Nicole R. Montoya, PA
• Sophia Elisa Montoya, DPT

• Speech-Language Assistant in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.