Active NPI
Israel Montano, CF-SLP
- Speech-Language Pathologist
- Duluth, MN
National Provider Identifier
1497368310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-2849
- Practice address
- 1521 N 9TH Ave E
Duluth, MN 55805-1120 - Phone
- (619) 995-0902
- NPI assigned
- Aug 29, 2020
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-2849 | NV | Primary |
Addresses
Primary practice location
1521 N 9TH Ave E
Duluth, MN 55805-1120
Mailing address
PO Box 21542
Reno, NV 89515-1542
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-2849 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599436800000",
"number": "1497368310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21542",
"city": "RENO",
"state": "NV",
"postal_code": "895151542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1521 N 9TH AVE E",
"city": "DULUTH",
"state": "MN",
"postal_code": "558051120",
"telephone_number": "619-995-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "ISRAEL",
"credential": "CF-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-29",
"last_updated": "2020-09-07",
"certification_date": "2020-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-2849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.