Active NPI
Shirley Montes, CBHCM
- Case Manager/Care Coordinator
- Miami Lakes, FL
National Provider Identifier
1336713007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 101763
- Practice address
- 14100 Palmetto Frntg Rd Ste 108
Miami Lakes, FL 33016-1568 - Phone
- (786) 463-2699
- NPI assigned
- May 18, 2021
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 101763 | FL | Primary |
Addresses
Primary practice location
14100 Palmetto Frntg Rd Ste 108
Miami Lakes, FL 33016-1568
Mailing address
7010 NW 186TH St Apt 321
Hialeah, FL 33015-3198
Phone (956) 617-1329
Other names 1
- Shirley J Montes
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 |
|---|---|---|---|
| 101763 | FL | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fenix Care Services Corp | Current | Accepting new patients |
Locations
14100 Palmetto Frntg Rd
Ste 108
Miami Lakes, FL 33016
Phone (786) 463-2699
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1568006435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1336713007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7010 NW 186TH ST APT 321",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330153198",
"telephone_number": "956-617-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 PALMETTO FRNTG RD STE 108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161568",
"telephone_number": "786-463-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "SHIRLEY",
"credential": "CBHCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-18",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "FL",
"license": "101763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHIRLEY",
"last_name": "MONTES",
"middle_name": "J",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.