Active NPI
Jessica Montanez
- Other Technician
- Lake Worth, FL
National Provider Identifier
1720510662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 1831 17TH Court N
Lake Worth, FL 33460 - Phone
- (786) 975-6002
- Fax
- (954) 200-7820
- NPI assigned
- Mar 30, 2017
- 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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
1831 17TH Court N
Lake Worth, FL 33460
Mailing address
4575 SE Dixie Highway
Stuart, FL 34997
Phone (786) 975-6002
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490918400000",
"number": "1720510662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 SE DIXIE HIGHWAY",
"city": "STUART",
"state": "FL",
"postal_code": "34997",
"telephone_number": "786-975-6002",
"fax_number": "954-200-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1831 17TH COURT N",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33460",
"telephone_number": "786-975-6002",
"fax_number": "954-200-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.