Active NPI
Grace Elizabeth Montes, MD
- Student in an Organized Health Care Education/Training Program
- Milwaukee, WI
National Provider Identifier
1831847243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 100694851
- Practice address
- 8701 Watertown Plank Rd
Milwaukee, WI 53226-3548 - Phone
- (414) 456-4575
- NPI assigned
- Mar 15, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | 100694851 | WI | Primary |
Addresses
Primary practice location
8701 Watertown Plank Rd
Milwaukee, WI 53226-3548
Mailing address
7435 W Talcott Ave
Chicago, IL 60631-3707
Other practice location 1
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 990-5261
Other practice location 2
7472 Meadow Rise Cv
Memphis, TN 38119-9013
Phone (901) 297-3597
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100694851 | WI | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1831847243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 WATERTOWN PLANK RD",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263548",
"telephone_number": "414-456-4575"
}
],
"practiceLocations": [
{
"address_1": "7435 W Talcott Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606313707",
"country_code": "US",
"telephone_number": "773-990-5261",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7472 Meadow Rise Cv",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381199013",
"country_code": "US",
"telephone_number": "901-297-3597",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTES",
"first_name": "GRACE",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WI",
"license": "100694851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.