Individual provider Active NPI

Liann Montoya, RN SFA

  • Orthopedic Registered Nurse
  • Farmington, NM
National Provider Identifier
1265625131
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Registered NurseTaxonomy code 163WX0800X
License
R52805 Issued in NM
Practice address
2300 E 30TH St BLDG D Ste 101
Farmington, NM 87401-8990
Phone
(505) 327-1400
Fax
(505) 564-3202
NPI assigned
Aug 23, 2007
Last updated
May 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Registered Nurse 163WX0800X R52805 NM Primary

Addresses

Primary practice location

2300 E 30TH St BLDG D Ste 101
Farmington, NM 87401-8990

Mailing address

2300 E 30TH St BLDG D Ste 101
Farmington, NM 87401-8990
Phone (505) 327-1400

Other identifiers 4

IdentifierTypeStateIssuer
47522MedicaidNM
00NM006H17OtherNMBCBS
10034668OtherNMLOVELACE
R52805OtherNEW MEXICO BOARD OF NURSI

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R52805NMMDOrthopedic Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1265625131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-564-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-564-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "LIANN",
        "name_prefix": "Mrs.",
        "credential": "RN SFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Orthopedic",
            "state": "NM",
            "license": "R52805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47522",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM006H17",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "10034668",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO BOARD OF NURSI",
            "identifier": "R52805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.