Individual provider Active NPI

A. Sue Montiel, CNM-NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1689716888
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
213560-4401 Issued in UT
Practice address
24 S 1100 E
Ste 209
Salt Lake City, UT 84102-1580
Phone
(801) 908-0930
Fax
(801) 531-0930
NPI assigned
Feb 13, 2007
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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 213560-4401 UT Primary

Addresses

Primary practice location

24 S 1100 E
Ste 209
Salt Lake City, UT 84102-1580

Mailing address

24 S 1100 E
Ste 209
Salt Lake City, UT 84102-1580
Phone (801) 908-0920

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1689716888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 1100 E",
            "address_2": "STE 209",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021580",
            "telephone_number": "801-908-0920",
            "fax_number": "801-531-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E",
            "address_2": "STE 209",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021580",
            "telephone_number": "801-908-0930",
            "fax_number": "801-531-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL",
        "first_name": "A.",
        "middle_name": "SUE",
        "credential": "CNM-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "UT",
            "license": "213560-4401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.