Breanne Michelle Montero, F.N.P.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.15240 Issued in OH

Practice address

16494 Saint Clair Ave
East Liverpool, OH 43920-9124

Phone

(330) 424-7221

NPI assigned

Oct 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: breanne.montero.p1@direct.sandy.nextgenshare.com

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.

• Community Action Agency of Columbiana County Inc

  • Federally Qualified Health Center (FQHC)
  • Lisbon, OH
  • NPI 1821041401
  Medicare reassignment NPD
• Community Action Agency of Columbiana County Inc

  • Federally Qualified Health Center (FQHC)
  • Hanoverton, OH
  • NPI 1225914112
  NPD
• Community Action Agency of Columbiana County, Inc

  • Federally Qualified Health Center (FQHC)
  • East Liverpool, OH
  • NPI 1689148108
  NPD
• Community Action Agency of Columbiana County Inc

  • Federally Qualified Health Center (FQHC)
  • Salineville, OH
  • NPI 1508114893
  NPD (past)
• Community Action Agency of Columbiana County, Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, OH
  • NPI 1356064414
  NPD (past)

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1194153288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CATHERINE ST",
            "city": "BURGETTSTOWN",
            "state": "PA",
            "postal_code": "150212242",
            "telephone_number": "412-680-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16494 SAINT CLAIR AVE",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209124",
            "telephone_number": "330-424-7221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "236 W 6th St",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439202802",
            "country_code": "US",
            "telephone_number": "330-386-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "BREANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.15240-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.15240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0093326",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Miller, PT
• Sara Miller, PTA
• William Miller, OTR/L
• Leah Marie Minard, APRN-CNP
• Molly A Moffett
• Christopher Paul Montgomery, DMD
• Erin Mook
• Patrick Michael Moore, DDS
• Tammy Moore, CNP
• Ashley Nicole Morgan

• Psychiatric/Mental Health Nurse Practitioner in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.