Individual provider Active NPI

Mikaela C Ponca-Montoya, CCSS

  • Peer Specialist
  • Santa Fe, NM
National Provider Identifier
1902748361
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
617 Franklin Ave Apt a
Santa Fe, NM 87505-1058
Phone
(505) 490-3379
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X NM Primary

Addresses

Primary practice location

617 Franklin Ave Apt a
Santa Fe, NM 87505-1058

Mailing address

617 Franklin Ave Apt a
Santa Fe, NM 87505-1058
Phone (505) 490-3379

Other names 1

  • Miki Ponca-Montoya Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1902748361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE APT A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051058",
            "telephone_number": "505-490-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 FRANKLIN AVE APT A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051058",
            "telephone_number": "505-490-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCA-MONTOYA",
        "first_name": "MIKAELA",
        "middle_name": "C",
        "credential": "CCSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKI",
            "last_name": "PONCA-MONTOYA",
            "credential": "CCSS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.