Marian N Montoya-Chick, APRN-BC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

201707820NP-PP Issued in OR

Practice address

3627 SE Dockside Dr
Corvallis, OR 97333-9346

Phone

(541) 969-5954

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• First Family Clinic, Inc.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1548451255
  NPD (past)
• Medical and Surgical Associates of Corsicana

  • Occupational Health Chiropractor
  • Corsicana, TX
  • NPI 1326292194
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1720082209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 BREN RD E",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553439664",
            "telephone_number": "541-969-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 SE DOCKSIDE DR",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973339346",
            "telephone_number": "541-969-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA-CHICK",
        "first_name": "MARIAN",
        "middle_name": "N",
        "credential": "APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201707820NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042592802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Monson, C.R.N.P.
• Kimberly D. Montagne, FNP
• Frank Leon Montes Jr.
• Megan Montes
• Jesus Montiel
• Calliandra Moody
• Madison Ann Moody
• Alexandra E Moore
• Ryan Moore
• Sabrena Marie Moore, PA-C

• Adult Health Nurse Practitioner in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.