Active NPI
Stephanie Lea Montalvo, RN, IBCLC
- Lactation Consultant (Registered Nurse)
- Mount Kisco, NY
National Provider Identifier
1760150528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Registered Nurse)
- License
- L-303851
- Practice address
- 58 Park Dr
Mount Kisco, NY 10549-1122 - Phone
- (203) 470-8175
- NPI assigned
- Sep 4, 2021
- 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 |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-303851 | NY | Primary |
Addresses
Primary practice location
58 Park Dr
Mount Kisco, NY 10549-1122
Mailing address
58 Park Dr
Mount Kisco, NY 10549-1122
Phone (203) 470-8175
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-303851 | NY | MD | Lactation Consultant (Registered Nurse) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630713600000",
"number": "1760150528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 PARK DR",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491122",
"telephone_number": "203-470-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 PARK DR",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491122",
"telephone_number": "203-470-8175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALVO",
"first_name": "STEPHANIE",
"middle_name": "LEA",
"credential": "RN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-04",
"last_updated": "2021-09-04",
"certification_date": "2021-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WL0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Lactation Consultant",
"state": "NY",
"license": "L-303851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.