Active NPI
Jade Montana, NP, CNM
- Advanced Practice Midwife
- Greensboro, NC
National Provider Identifier
1679956015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM05541
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM05541 | NC | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uwh of the Carolinas, PLLC | Current | 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.
-
- Obstetrics & Gynecology Physician
- Morrisville, NC
- NPI 1639506470
-
- Obstetrics & Gynecology Physician
- Winston Salem, NC
- NPI 1649261785
-
- Emergency Medicine Physician
- Scottsdale, AZ
- NPI 1346545209
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.