Individual provider Active NPI

Sayward Rose Montoya, FNP-BC

  • Family Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1679076616
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5011772 Issued in NC
Practice address
3185 Maplewood Ave
Winston Salem, NC 27103-3903
Phone
(336) 721-0606
NPI assigned
Mar 15, 2018
Last updated
Oct 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5011772 NC Primary
Registered Nurse 163W00000X 261578 NC

Addresses

Primary practice location

3185 Maplewood Ave
Winston Salem, NC 27103-3903

Mailing address

639 S Green St
Winston Salem, NC 27101-5109
Phone (336) 721-0606

Other names 1

  • Sayward Rose Driscoll Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
261578NCMDRegistered Nurse
5011772NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Shalom Project, Inc. CurrentSince Oct 21, 2025 Accepting new patients

Locations

3185 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 721-0606

639 S Green St
Winston Salem, NC 27101
Phone (336) 721-0606

Interoperability endpoints

  • Direct secure messaging: sayward.montoya.1@17957.direct.athenahealth.com
  • Direct secure messaging: smontoya@landmarkhealth-direct.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1679076616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S GREEN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271015109",
            "telephone_number": "336-721-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 MAPLEWOOD AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033903",
            "telephone_number": "336-721-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "SAYWARD",
        "middle_name": "ROSE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5011772",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "261578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAYWARD",
            "last_name": "DRISCOLL",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.