Active NPI
Rebecca Jordan Montero, M.S.
- Speech-Language Pathologist
- Rome, GA
National Provider Identifier
1881002749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 212 W 3Rd St SW
Rome, GA 30165-2802 - Phone
- (706) 295-4242
- NPI assigned
- Jul 23, 2014
- Last updated
- Sep 4, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | FL | Primary |
Addresses
Primary practice location
212 W 3Rd St SW
Rome, GA 30165-2802
Mailing address
2104 Claridge Dr SE
Rome, GA 30161-8583
Phone (615) 653-5670
Other practice location 1
950 Peninsula Corporate Cir
Suite 1014
Boca Raton, FL 33487-1378
Phone (561) 994-6690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001230200 | Medicaid | FL |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1881002749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 CLARIDGE DR SE",
"city": "ROME",
"state": "GA",
"postal_code": "301618583",
"telephone_number": "615-653-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W 3RD ST SW",
"city": "ROME",
"state": "GA",
"postal_code": "301652802",
"telephone_number": "706-295-4242"
}
],
"practiceLocations": [
{
"address_1": "950 Peninsula Corporate Cir",
"address_2": "Suite 1014",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "334871378",
"country_code": "US",
"telephone_number": "561-994-6690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTERO",
"first_name": "REBECCA",
"middle_name": "JORDAN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001230200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.