Active NPI
Kevin L Montoya
- Health & Wellness Coach
- Bernalillo, NM
National Provider Identifier
1457058364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 2 Dove Rd
Bernalillo, NM 87004-5906 - Phone
- (505) 771-6759
- NPI assigned
- Feb 10, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
2 Dove Rd
Bernalillo, NM 87004-5906
Mailing address
2 Dove Rd
Bernalillo, NM 87004-5906
Phone (505) 771-6759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100722330 | Other | NM | DL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1457058364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 DOVE RD",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870045906",
"telephone_number": "505-771-6759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 DOVE RD",
"city": "BERNALILLO",
"state": "NM",
"postal_code": "870045906",
"telephone_number": "505-771-6759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOYA",
"first_name": "KEVIN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DL",
"identifier": "100722330",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bernalillo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.