Individual provider Active NPI

Angie Montesinos, CERTIFIED MA

  • Other Technician
  • Las Vegas, NV
National Provider Identifier
1477145563
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
Practice address
3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067
Phone
(725) 204-7591
Fax
(702) 920-8493
NPI assigned
Feb 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X Primary

Addresses

Primary practice location

3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067

Mailing address

3430 E Flamingo Rd Ste 311
Las Vegas, NV 89121-5067
Phone (725) 204-7591

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL icanotes Direct

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1477145563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 311",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215067",
            "telephone_number": "725-204-7591",
            "fax_number": "702-920-8493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 E FLAMINGO RD STE 311",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215067",
            "telephone_number": "725-204-7591",
            "fax_number": "702-920-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESINOS",
        "first_name": "ANGIE",
        "credential": "CERTIFIED MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "icanotes",
            "affiliation": "N",
            "endpointDescription": "LAS VEGAS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3430 E Flamingo Rd Ste 311",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.