Montia Latrese Wright

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

211 Fulton St Ste 207
Peoria, IL 61602-1332

Phone

(309) 671-8580

Fax

(309) 671-7747

NPI assigned

Oct 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1306489414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3623 W HEDGE HILL LN APT 1",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616152581",
            "telephone_number": "309-404-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FULTON ST STE 207",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021332",
            "telephone_number": "309-671-8580",
            "fax_number": "309-671-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MONTIA",
        "middle_name": "LATRESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Worrick, FNP
• Shannon Wrage
• Vivian Wrenn
• Dale Wright
• Erik Wright, M.D.
• Yolanda Wright
• Richard Wu, MD
• Jacqueline Wudtke
• Rhonda Wudtke
• Riley Kay Wunder, PA

• Nurse's Aide in Peoria, IL
• Providers in Peoria, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.