Individual provider Active NPI

Montoya Renee Rainey, APRN-CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Richardson, TX
National Provider Identifier
1649946104
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
1050552 Issued in TX
Practice address
3201 George Bush Hwy Ste 107
Richardson, TX 75082-3565
Phone
(972) 276-9902
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 1050552 TX Primary

Addresses

Primary practice location

3201 George Bush Hwy Ste 107
Richardson, TX 75082-3565

Mailing address

3201 George Bush Hwy Ste 107
Richardson, TX 75082-3565
Phone (972) 276-9902

Other identifiers 1

IdentifierTypeStateIssuer
1050552OtherTXTX BON

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mrainey@advancedobgynassociates.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231220000904 TX Practitioner - Nurse Practitioner 2062862881 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1050552TXMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Mattina Health Inc CurrentSince May 1, 2025 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 12, 2023 Accepting new patients
Texas Health Care, P.L.L.C. CurrentSince Nov 12, 2023 Accepting new patients
Texas Health Care, P.L.L.C. Current Accepting new patients

Locations

12377 Merit Dr
Ste 550
Dallas, TX 75251
Phone (214) 294-8989

3142 Horizon Rd
Ste 201
Rockwall, TX 75032
Phone (469) 501-5244

920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855

Interoperability endpoints

  • Direct secure messaging: montoya.rainey.1@8042.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1649946104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 GEORGE BUSH HWY STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823565",
            "telephone_number": "972-276-9902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 GEORGE BUSH HWY STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823565",
            "telephone_number": "972-276-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "MONTOYA",
        "middle_name": "RENEE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "TX",
            "license": "1050552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX BON",
            "identifier": "1050552",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrainey@advancedobgynassociates.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3201 George Bush Hwy Ste 107",
            "city": "Richardson",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750823565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.