Blanca Yasmin Ibarra Montanez

Primary specialty

DriverTaxonomy code 172A00000X

License

44157874 Issued in TX

Practice address

51615 Zuni Cir Apt 4
Fort Cavazos, TX 76544-2145

Phone

(254) 402-6200

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Blanca Yasmin Lopez Perdomo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1598521692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51615 ZUNI CIR APT 4",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765442145",
            "telephone_number": "254-402-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51615 ZUNI CIR APT 4",
            "city": "FORT CAVAZOS",
            "state": "TX",
            "postal_code": "765442145",
            "telephone_number": "254-402-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA MONTANEZ",
        "first_name": "BLANCA",
        "middle_name": "YASMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "44157874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLANCA",
            "last_name": "LOPEZ PERDOMO",
            "middle_name": "YASMIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dylan Lee Horne
• Eric Hu, D.M.D.
• Alvin Eric Huang, M.D.
• Tyler John Hummel, DO
• Daniel George Hutchings, LCSW
• Latoya Antonette Irwin, MSSW, LCSW
• Precious Peace Itugbu
• David S Iverson, MD
• Myles Iwen, D.M.D.
• Aaron Jackson, M.D.

• Driver in Fort Cavazos, TX
• Providers in Fort Cavazos, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.