Sandra E Montie, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001616 Issued in IA

Practice address

440 SE Osceola St
Stuart, FL 34994-2500

Phone

(772) 219-2777

Fax

(772) 219-0017

NPI assigned

May 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sandra E Coady Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1760435986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942500",
            "telephone_number": "772-219-2777",
            "fax_number": "772-219-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SE OSCEOLA ST",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942500",
            "telephone_number": "772-219-2777",
            "fax_number": "772-219-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIE",
        "first_name": "SANDRA",
        "middle_name": "E",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "001616",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "COADY",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physician Assistant in Stuart, FL
• Providers in Stuart, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.