Active NPI
Rose Abigael Montemayor, RN
- Registered Nurse
- Sacramento, CA
National Provider Identifier
1790544864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95335837
- Practice address
- 4210 Green Tree Dr
Sacramento, CA 95823-1941 - Phone
- (217) 801-7205
- NPI assigned
- Mar 18, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95335837 | CA | Primary |
Addresses
Primary practice location
4210 Green Tree Dr
Sacramento, CA 95823-1941
Mailing address
407 S Monroe St
Millstadt, IL 62260-1625
Phone (217) 801-7205
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 |
|---|---|---|---|
| 95335837 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1790544864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 S MONROE ST",
"city": "MILLSTADT",
"state": "IL",
"postal_code": "622601625",
"telephone_number": "217-801-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4210 GREEN TREE DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958231941",
"telephone_number": "217-801-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEMAYOR",
"first_name": "ROSE ABIGAEL",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95335837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.