Active NPI
Colleen Anne Montz, FNP
- Primary Care Nurse Practitioner
- Azusa, CA
National Provider Identifier
1649674508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP95001390
- Practice address
- 901 E. Alosta Ave.
Student Health Center
Azusa, CA 91702 - Phone
- (626) 815-2100
- Fax
- (626) 815-2102
- NPI assigned
- Oct 21, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP95001390 | CA | Primary |
Addresses
Primary practice location
901 E. Alosta Ave.
Student Health Center
Azusa, CA 91702
Mailing address
901 E. Alosta Ave.
Student Health Center
Azusa, CA 91702
Phone (626) 815-2100
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 |
|---|---|---|---|
| NP95001390 | CA | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1649674508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E. ALOSTA AVE.",
"address_2": "STUDENT HEALTH CENTER",
"city": "AZUSA",
"state": "CA",
"postal_code": "91702",
"telephone_number": "626-815-2100",
"fax_number": "626-815-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 E. ALOSTA AVE.",
"address_2": "STUDENT HEALTH CENTER",
"city": "AZUSA",
"state": "CA",
"postal_code": "91702",
"telephone_number": "626-815-2100",
"fax_number": "626-815-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTZ",
"first_name": "COLLEEN",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "NP95001390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.