Active NPI
Caitlyn Lisa Montero
- Audiologist
- Hollywood, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY2594
- Practice address
- 3800 Johnson St Ste a-2
Hollywood, FL 33021-6030 - Phone
- (954) 874-7707
- NPI assigned
- Jun 14, 2022
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY2594 | FL | Primary |
Addresses
Primary practice location
3800 Johnson St Ste a-2
Hollywood, FL 33021-6030
Mailing address
15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724
Other practice location 1
18501 Pines Blvd Ste 210
Pembroke Pines, FL 33029-1420
Phone (954) 982-8441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 S University Dr
Daive, FL 33328-2018
Phone (954) 262-4343
900 NW 13TH St
Suite 206
Boca Raton, FL 33486-2350
Phone (561) 391-3333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Southeastern University, Inc. | Current | Accepting new patients | |
| Nova Southeastern University Inc. | Current | Accepting new patients | |
| ENT and Allergy Associates of Florida, LLC | Current | Accepting new patients | |
| Nova Southeastern University, Inc | Current | Accepting new patients |
Locations
6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267
900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267
3200 S University Dr
#L
Davie, FL 33328
3200 S University Dr
Davie, FL 33328
Phone (954) 262-1250
650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
-
- Optometrist
- Ft. Lauderdale, FL
- NPI 1700924511
-
- Clinical Medical Laboratory
- Ft. Lauderdale, FL
- NPI 1770533390
-
- Sports Medicine (Family Medicine) Physician
- Ft. Lauderdale, FL
- NPI 1720126584
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1154051084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15280 NW 79TH CT STE 200",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330165873",
"telephone_number": "305-558-3724",
"fax_number": "786-907-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 JOHNSON ST STE A-2",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330216030",
"telephone_number": "954-874-7707"
}
],
"practiceLocations": [
{
"address_1": "18501 Pines Blvd Ste 210",
"address_purpose": "LOCATION",
"city": "Pembroke Pines",
"state": "FL",
"postal_code": "330291420",
"country_code": "US",
"telephone_number": "954-982-8441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTERO",
"first_name": "CAITLYN",
"middle_name": "LISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY2594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.