Active NPI
Tina Montee, NP-C
- Family Nurse Practitioner
- Sullivan, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2004016381
- Practice address
- 101 Progress Pkwy
Sullivan, MO 63080-2359 - Phone
- (573) 468-3555
- Fax
- (573) 468-3554
- NPI assigned
- Jul 9, 2014
- Last updated
- Jul 9, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2004016381 | MO | Primary |
Addresses
Primary practice location
101 Progress Pkwy
Sullivan, MO 63080-2359
Mailing address
101 Progress Pkwy
Sullivan, MO 63080-2359
Phone (573) 468-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1326 S Service Rd W
Suite 30
Sullivan, MO 63080-2306
Phone (636) 649-3080
1326 S Service W Rd
Sullivan, MO 63080-2306
851 E 5TH St
Washington, MO 63090-3130
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004016381 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Family | Current | Accepting new patients |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
101 Progress Pkwy
Sullivan, MO 63080
Phone (573) 468-3555
1326 S Service Rd W
Ste 20
Sullivan, MO 63080
Phone (573) 468-3555
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Interoperability endpoints
- tmontee76219@directc.mercy.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
-
- Rural Health Clinic/Center
- Bourbon, MO
- NPI 1235493776
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1942616016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PROGRESS PKWY",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802359",
"telephone_number": "573-468-3555",
"fax_number": "573-468-3554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PROGRESS PKWY",
"city": "SULLIVAN",
"state": "MO",
"postal_code": "630802359",
"telephone_number": "573-468-3555",
"fax_number": "573-468-3554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEE",
"first_name": "TINA",
"name_prefix": "Mrs.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2004016381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sullivan, MO
- Missouri Baptist Hospital of Sullivan (Sullivan Medical Office)
- Missouri Baptist Hospital of Sullivan
- Missouri Baptist Hospital of Sullivan (Riverside Medical Clinic)
- Missouri CVS Pharmacy LLC (CVS Pharmacy #18101)
- Missouri Dental Professionals, Richard Straus, DMD, PC (Sullivan Family Dentistry)
- Edmond Collin Nelson Jr., MD
- Sue Ellen Nesslage, PTA
- Xiang Le NG, MD
- Karlee Faye Nicks
- Lisa Kay Norris, PLPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.