Active NPI
Nelson Montane, MA
- Specialist
- Tampa, FL
National Provider Identifier
1689819948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 43149
- Practice address
- 3401 W Columbus Dr
Ste 2
Tampa, FL 33607-1869 - Phone
- (813) 341-5100
- Fax
- (813) 341-5101
- NPI assigned
- Dec 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MA 43149 | FL | Primary |
Addresses
Primary practice location
3401 W Columbus Dr
Ste 2
Tampa, FL 33607-1869
Mailing address
3401 W Columbus Dr
Ste 2
Tampa, FL 33607-1869
Phone (813) 341-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA43149 | Other | FL | MASSAGE THERAPIST |
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 43149 | FL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229299200000",
"number": "1689819948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W COLUMBUS DR",
"address_2": "STE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071869",
"telephone_number": "813-341-5100",
"fax_number": "813-341-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W COLUMBUS DR",
"address_2": "STE 2",
"city": "TAMPA",
"state": "FL",
"postal_code": "336071869",
"telephone_number": "813-341-5100",
"fax_number": "813-341-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANE",
"first_name": "NELSON",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-12-15",
"last_updated": "2008-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "MA 43149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "MA43149",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.