Organization Active NPI

Amanda Montanez LLC

  • Registered Dietitian
  • Coral Springs, FL
National Provider Identifier
1376311639
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
AMANDA MONTANEZ LLC
Practice address
12716 NW 19TH MNR
Coral Springs, FL 33071-7759
Phone
(916) 740-5485
NPI assigned
Dec 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Amanda Giselle Montanez Alvarado, RDNPI 1093583858
Title
Owner
Phone
(916) 740-5485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

12716 NW 19TH MNR
Coral Springs, FL 33071-7759

Mailing address

12716 NW 19TH MNR
Coral Springs, FL 33071-7759
Phone (916) 740-5485

Other identifiers 1

IdentifierTypeStateIssuer
1093583858OtherPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1376311639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12716 NW 19TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717759",
            "telephone_number": "916-740-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 NW 19TH MNR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717759",
            "telephone_number": "916-740-5485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA MONTANEZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ ALVARADO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "GISELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-740-5485",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1093583858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.