Individual provider Active NPI

Jade Montana, NP, CNM

  • Advanced Practice Midwife
  • Greensboro, NC
National Provider Identifier
1679956015
Registry record updated Jan 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM05541 Issued in NC
Practice address
3200 Northline Ave Ste 130
Greensboro, NC 27408-7600
Phone
(919) 360-3569
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2020

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 5007746 NC
Advanced Practice Midwife 367A00000X CNM05541 NC Primary

Addresses

Primary practice location

3200 Northline Ave Ste 130
Greensboro, NC 27408-7600

Mailing address

2017 Price Creek Rd
Chapel Hill, NC 27516-8016
Phone (919) 360-3569

Other practice location 1

600 W Hillsboro Blvd Ste 110
Deerfield Beach, FL 33441-1610
Phone (754) 224-4125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160222002806 NC Practitioner - Nurse Practitioner 2365747813 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNM05541NCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Uwh of the Carolinas, PLLC CurrentSince May 1, 2019 Accepting new patients
Whap, PA Past Accepting new patients
Texan Urgent Care PLLC Past Accepting new patients

Locations

3200 Northline Ave
Ste 130
Greensboro, NC 27408
Phone (336) 286-6565

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

Organizations & group practices 3

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578787200000",
    "number": "1679956015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 PRICE CREEK RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275168016",
            "telephone_number": "919-360-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600",
            "telephone_number": "919-360-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Hillsboro Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411610",
            "country_code": "US",
            "telephone_number": "754-224-4125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANA",
        "first_name": "JADE",
        "credential": "NP, CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2020-01-12",
        "certification_date": "2020-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007746",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "CNM05541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.