Individual provider Active NPI

Simone L Montoute, CNM

  • Advanced Practice Midwife
  • Washington, DC
National Provider Identifier
1285681429
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN1038693 Issued in DC
Practice address
1150 Varnum Street. NE
Washington, DC 20017-2104
Phone
(202) 854-7075
Fax
(202) 854-7470
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X ARNP3018062 FL
Midwife 176B00000X RN1038693 DC
Advanced Practice Midwife 367A00000X RN1038693 DC Primary

Addresses

Primary practice location

1150 Varnum Street. NE
Washington, DC 20017-2104

Mailing address

1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 854-7075

Other identifiers 1

IdentifierTypeStateIssuer
340335100MedicaidFL

Other names 1

  • Simone Montoute-Medford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151202001139 DC Practitioner - Certified Nurse Midwife (CNM) 3173823853 Reassigns benefits to 1 organization
I20250530001703 VA Practitioner - Certified Nurse Midwife (CNM) 3173823853 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN1038693DCMDMidwife
ARNP3018062FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Marys Center for Maternal and Child Care Inc CurrentSince Nov 19, 2019 Accepting new patients
DHP of Virginia PC CurrentSince May 12, 2025 Accepting new patients
Mary'S Center for Maternal and Child Care, Inc Current Accepting new patients
Mary'S Center for Maternal and Child Care, Inc CurrentSince Nov 19, 2019 Accepting new patients
Providence Health Services, Inc Past Accepting new patients

Locations

2333 Ontario Rd NW
Washington, DC 20009
Phone (202) 420-7175

3912 Georgia Ave NW
Washington, DC 20011
Phone (844) 796-2797

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Interoperability endpoints

  • Direct secure messaging: simone.montoute@maryscenter.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1285681429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-7075",
            "fax_number": "202-854-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM STREET. NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172104",
            "telephone_number": "202-854-7075",
            "fax_number": "202-854-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOUTE",
        "first_name": "SIMONE",
        "middle_name": "L",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "ARNP3018062",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "DC",
            "license": "RN1038693",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DC",
            "license": "RN1038693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340335100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMONE",
            "last_name": "MONTOUTE-MEDFORD",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.