Active NPI
Jessica A Montana, L.A.C
- Acupuncturist
- Makawao, HI
National Provider Identifier
1710241138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 981
- Practice address
- 1170 Makawao Ave Ste 103
Makawao, HI 96768-9448 - Phone
- (808) 633-6123
- NPI assigned
- Jun 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 981 | HI | Primary |
Addresses
Primary practice location
1170 Makawao Ave Ste 103
Makawao, HI 96768-9448
Mailing address
30 Olinda Rd
Makawao, HI 96768-7360
Phone (808) 633-6123
Other practice location 1
617 Ilima Ave
Lanai City, HI 96793
Phone (808) 633-6123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ACU-981 | Other | HI | HAWAII STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 981 | HI | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Wholistic Health Center of Tucson | Acupuncturist | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Acupuncturist
- Tucson, AZ
- NPI 1407727985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1710241138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 OLINDA RD",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967687360",
"telephone_number": "808-633-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 MAKAWAO AVE STE 103",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967689448",
"telephone_number": "808-633-6123"
}
],
"practiceLocations": [
{
"address_1": "617 Ilima Ave",
"address_purpose": "LOCATION",
"city": "Lanai City",
"state": "HI",
"postal_code": "96793",
"country_code": "US",
"telephone_number": "808-633-6123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTANA",
"first_name": "JESSICA",
"middle_name": "A",
"credential": "L.A.C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-29",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII STATE LICENSE",
"identifier": "ACU-981",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.