Active NPI
Maria M Montez, PNP
- Pediatric Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1720174519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP0130
- Practice address
- 535 N Wilmot
Suite #101
Tucson, AZ 85711 - Phone
- (520) 694-9988
- Fax
- (520) 694-9917
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN072511 | AZ | |
| Pediatric Nurse Practitioner | 363LP0200X | AP0130 | AZ | Primary |
Addresses
Primary practice location
535 N Wilmot
Suite #101
Tucson, AZ 85711
Mailing address
2701 E Elvira Rd
Tucson, AZ 85756-7214
Phone (520) 626-6615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196651 | Medicaid | AZ |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1720174519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 E ELVIRA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857567214",
"telephone_number": "520-626-6615",
"fax_number": "520-626-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 N WILMOT",
"address_2": "SUITE #101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "85711",
"telephone_number": "520-694-9988",
"fax_number": "520-694-9917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEZ",
"first_name": "MARIA",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "RN072511",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AZ",
"license": "AP0130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "196651",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.