Individual provider Active NPI

Michelle Montijo, RN

  • Case Management Registered Nurse
  • Hauppauge, NY
National Provider Identifier
1861797698
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
223747 Issued in AZ
Practice address
80 Arkay Dr Ste 230
Hauppauge, NY 11788-3705
Phone
(833) 342-1454
NPI assigned
Jan 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 223747 AZ Primary

Addresses

Primary practice location

80 Arkay Dr Ste 230
Hauppauge, NY 11788-3705

Mailing address

3108 N Copenhagen Dr
Avondale, AZ 85392-4105
Phone (602) 622-9259

Other practice location 1

3108 N Copenhagen Dr
Avondale, AZ 85392-4105
Phone (225) 285-3413

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

LicenseStateTypeSpecialty
223747AZMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1861797698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 N COPENHAGEN DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924105",
            "telephone_number": "602-622-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ARKAY DR STE 230",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883705",
            "telephone_number": "833-342-1454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3108 N Copenhagen Dr",
            "address_purpose": "LOCATION",
            "city": "Avondale",
            "state": "AZ",
            "postal_code": "853924105",
            "country_code": "US",
            "telephone_number": "225-285-3413",
            "fax_number": "602-622-9259",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTIJO",
        "first_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "AZ",
            "license": "223747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.