Individual provider Active NPI

Gloria Montes, FNP

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1992375646
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1045859 Issued in TX
Practice address
705 E Marshall Ave Ste 3001
Longview, TX 75601-5610
Phone
(903) 230-9811
Fax
(903) 653-1431
NPI assigned
Jun 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1045859 TX Primary

Addresses

Primary practice location

705 E Marshall Ave Ste 3001
Longview, TX 75601-5610

Mailing address

705 E Marshall Ave Ste 3001
Longview, TX 75601-5610
Phone (903) 230-9811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501001858 TX Practitioner - Nurse Practitioner 8022458520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Primary Care Associates PLLC CurrentSince Mar 25, 2024 Accepting new patients

Locations

705 E Marshall Ave
Ste 3001
Longview, TX 75601
Phone (903) 230-9811

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1992375646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 3001",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015610",
            "telephone_number": "903-230-9811",
            "fax_number": "903-653-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE STE 3001",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015610",
            "telephone_number": "903-230-9811",
            "fax_number": "903-653-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES",
        "first_name": "GLORIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1045859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.