Individual provider Active NPI

Jose Amando Rivera Montejano

  • Registered Nurse
  • Greensboro, NC
National Provider Identifier
1306687462
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
317576 Issued in NC
Practice address
Unc Greensboro School of Nursing 1007 Walker Avenue
Greensboro, NC 27412-0001
Phone
(336) 334-5400
NPI assigned
Jun 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 317576 NC Primary

Addresses

Primary practice location

Unc Greensboro School of Nursing 1007 Walker Avenue
Greensboro, NC 27412-0001

Mailing address

Unc Greensboro School of Nursing 1007 Walker Avenue
Greensboro, NC 27412-0001

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

LicenseStateTypeSpecialty
317576NCMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1306687462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC GREENSBORO SCHOOL OF NURSING 1007 WALKER AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274120001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC GREENSBORO SCHOOL OF NURSING 1007 WALKER AVENUE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274120001",
            "telephone_number": "336-334-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA MONTEJANO",
        "first_name": "JOSE",
        "middle_name": "AMANDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "317576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.