Active NPI
Gwendolyn Evon Montes, A.R.N.P.
- Women's Health Nurse Practitioner
- Tulsa, OK
National Provider Identifier
1396772158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R0047676
- Practice address
- 334 E Apache St
Tulsa, OK 74106-3704 - Phone
- (918) 585-1550
- Fax
- (918) 728-8686
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R0047676 | OK | Primary |
Addresses
Primary practice location
334 E Apache St
Tulsa, OK 74106-3704
Mailing address
1305 N Aster Ave
Broken Arrow, OK 74012-9136
Phone (918) 951-3259
Other names 1
- Ms. Gwendolyn Day 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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0047676 | OK | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Contract Therapy Services, LLC | Past | Accepting new patients | |
| Quality Care Medical Center Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Tulsa, OK
- NPI 1033438148
-
- Medical Specialty Clinic/Center
- Tulsa, OK
- NPI 1164603213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396772158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 N ASTER AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740129136",
"telephone_number": "918-951-3259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 E APACHE ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741063704",
"telephone_number": "918-585-1550",
"fax_number": "918-728-8686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "GWENDOLYN",
"middle_name": "EVON",
"name_prefix": "Ms.",
"credential": "A.R.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "OK",
"license": "R0047676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GWENDOLYN",
"last_name": "MONTES",
"middle_name": "DAY",
"prefix": "MS.",
"credential": "A.R.N.P.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.