Individual provider Active NPI

Kelly Montoya, N.P.

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1396105433
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992239-NP Issued in CO
Practice address
4710 Bellaire Blvd Ste 175
Bellaire, TX 77401-4505
Phone
(713) 441-9040
NPI assigned
Mar 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP134100 TX
Family Nurse Practitioner 363LF0000X APN.0992239-NP CO Primary

Addresses

Primary practice location

4710 Bellaire Blvd Ste 175
Bellaire, TX 77401-4505

Mailing address

4500 E 9TH Ave Ste 540
Denver, CO 80220-3924
Phone (303) 329-8998

Other practice location 1

4710 Bellaire Blvd Ste 175
Bellaire, TX 77401-4505
Phone (713) 441-9040

Other practice location 2

8990 Washington St
Thornton, CO 80229-4537
Phone (720) 929-1655

Other practice location 3

4500 E 9th Ave Ste 540
Denver, CO 80220-3924
Phone (303) 329-8998

Other identifiers 1

IdentifierTypeStateIssuer
385226101MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KELLY.MONTOYA@hca3.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502002080 CO Practitioner - Nurse Practitioner 8224337944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthone Clinic Services - Primary Care LLCGroup PAC ID 7012804446, 45 clinicians

Practice addresses (Care Compare)

4600 E 9TH Ave
Suite 300
Denver, CO 80220-4042
Phone (303) 329-8998

4809 Argonne St
Denver, CO 80249-6834
Phone (303) 563-2784

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP134100TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services - Primary Care LLC CurrentSince Feb 10, 2020 Accepting new patients
Star Urgent Care Management Inc Past Accepting new patients

Locations

4500 E 9th Ave
Ste 540
Denver, CO 80220
Phone (303) 320-1221

4600 E 9th Ave
Ste 300
Denver, CO 80220
Phone (303) 329-8998

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1396105433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E 9TH AVE STE 540",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802203924",
            "telephone_number": "303-329-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 175",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014505",
            "telephone_number": "713-441-9040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 Bellaire Blvd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014505",
            "country_code": "US",
            "telephone_number": "713-441-9040",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8990 Washington St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802294537",
            "country_code": "US",
            "telephone_number": "720-929-1655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 E 9th Ave Ste 540",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802203924",
            "country_code": "US",
            "telephone_number": "303-329-8998",
            "fax_number": "303-388-1865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "KELLY",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2022-01-04",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134100",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992239-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385226101",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KELLY.MONTOYA@hca3.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4500 E 9th Ave Ste 540",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802203924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.