Individual provider Active NPI

Bethany M Monte, CNM, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1982722559
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
09000391A Issued in IN
Practice address
735 Shelby St Ste 104
Indianapolis, IN 46203-1167
Phone
(317) 659-6484
Fax
(317) 406-4136
NPI assigned
Mar 26, 2007
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 09000391A IN Primary
Advanced Practice Midwife 367A00000X 72000089A IN
Registered Nurse 163W00000X 28144249A IN

Addresses

Primary practice location

735 Shelby St Ste 104
Indianapolis, IN 46203-1167

Mailing address

735 Shelby St Ste 104
Indianapolis, IN 46203-1167
Phone (317) 659-6484

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)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
28144249AINMDRegistered Nurse
72000089AINMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1982722559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 SHELBY ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031167",
            "telephone_number": "317-659-6484",
            "fax_number": "317-406-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 SHELBY ST STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031167",
            "telephone_number": "317-659-6484",
            "fax_number": "317-406-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTE",
        "first_name": "BETHANY",
        "middle_name": "M",
        "credential": "CNM, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "09000391A",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "72000089A",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28144249A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.