Active NPI
Stephanie Montes Vega, APRN
- Family Nurse Practitioner
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN9295699
- Practice address
- 3401 Pga Blvd Ste 400
Palm Beach Gardens, FL 33410-2825 - Phone
- (561) 219-1000
- Fax
- (561) 694-6018
- NPI assigned
- Oct 23, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9295699 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN9295699 | FL | Primary |
Addresses
Primary practice location
3401 Pga Blvd Ste 400
Palm Beach Gardens, FL 33410-2825
Mailing address
3401 Pga Blvd Ste 400
Palm Beach Gardens, FL 33410-2825
Phone (561) 219-1000
Other practice location 1
5401 South Congress Avenue
Atlantis, FL 33462
Phone (561) 964-8221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015040300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9295699 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Nurse Practitioner | Current | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
8932 SW 97th Ave
Miami, FL 33176
Phone (305) 270-3485
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416
3401 Pga Blvd
Ste 400
Palm Beach Gardens, FL 33410
Phone (561) 219-1000
Interoperability endpoints
- smontesvega71769@direct.med.miami.edu
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.
-
- Hepatology Physician
- Miami, FL
- NPI 1013967827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1558766337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102825",
"telephone_number": "561-219-1000",
"fax_number": "561-694-6018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PGA BLVD STE 400",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102825",
"telephone_number": "561-219-1000",
"fax_number": "561-694-6018"
}
],
"practiceLocations": [
{
"address_1": "5401 South Congress Avenue",
"address_purpose": "LOCATION",
"city": "Atlantis",
"state": "FL",
"postal_code": "33462",
"country_code": "US",
"telephone_number": "561-964-8221",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTES VEGA",
"first_name": "STEPHANIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-23",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9295699",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9295699",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015040300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.