Active NPI
Amanda Montano, RD
- Registered Dietitian
- Albuquerque, NM
National Provider Identifier
1295350346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD-1197
- Practice address
- 9928 Cielito Norte Way NE
Albuquerque, NM 87122-3222 - Phone
- (505) 508-9690
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-1197 | NM | Primary |
Addresses
Primary practice location
9928 Cielito Norte Way NE
Albuquerque, NM 87122-3222
Mailing address
9928 Cielito Norte Way NE
Albuquerque, NM 87122-3222
Phone (505) 508-9690
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amanda@desertrootnutrition.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD-1197 | NM | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1295350346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9928 CIELITO NORTE WAY NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223222",
"telephone_number": "505-508-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9928 CIELITO NORTE WAY NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223222",
"telephone_number": "505-508-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "AMANDA",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-15",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "LD-1197",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amanda@desertrootnutrition.com",
"affiliation": "N",
"address_1": "9928 Cielito Norte Way NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871223222",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.