Jeanne D Montross, PHD ARNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

ARNP1157192 Issued in FL

Practice address

4240 Stacey Rd E
Jacksonville, FL 32250-2100

Phone

(904) 223-1684

Fax

(904) 223-9177

NPI assigned

Dec 9, 2005

Last updated

Mar 19, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Jeanne D Montross Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William L Ross

  dba Amelia Psychological Services

  • Marriage & Family Therapist
  • Fernandina Beach, FL
  • NPI 1083834246
  NPD (past)

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1225013477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14286 BEACH BLVD STE 19",
            "address_2": "#348",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322501568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 STACEY RD E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502100",
            "telephone_number": "904-223-1684",
            "fax_number": "904-223-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTROSS",
        "first_name": "JEANNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PHD ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP1157192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL",
            "identifier": "593546315",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "593546815",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2004928",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00233697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y6677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "MONTROSS",
            "middle_name": "D",
            "credential": "ARNP PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nora Elena Montoya-Gil
• Dennis Montoya, M.D.
• Jean-Paul Montoya, MD
• Maria J Montoya
• May Ellza Montrichard, MD
• Jeremy C Montz, DPT, MS, ATC
• Monument-9a Imaging & Diagnostic Center L L C
• Austin Moody, M.D.
• Braeden Moody
• Dereck Moody

• Psychiatric/Mental Health Nurse Practitioner in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.