MISTY D MONTELLANO (NPI# 1740580935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740580935 |
| Entity Type | Individual |
| Full Name | MISTY D MONTELLANO |
| Credential | NP-C |
| Practice Address |
200 Martin Luther King Blvd Wichita Falls TX 76301-1152 |
| Practice Telephone | 9407666306 |
| Practice Fax Number | 9407666504 |
| Mailing Telephone | 9407666306 |
| Mailing Fax Number | 9407666404 |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2019-01-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 661454 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 MARTIN LUTHER KING BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-1152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205807633 | Steven D Gulbranson | Dentist | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2006-02-01 |
| 1568062057 | Kathleen Jean Shepard | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2020-10-26 |
| 1790335859 | Kimberly Allgood | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2019-09-19 |
| 1063072247 | Kelli Mcgill | Counselor | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2019-06-19 |
| 1528507670 | Susann Edith Eirosius | Social Worker | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2017-02-21 |
| 1508319245 | Irma Escobedo | Counselor | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2016-07-29 |
| 1558733279 | Ning Huang | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2015-10-21 |
| 1083023550 | Noel James | Social Worker | 200 Martin Luther King Blvd, Ste. 101, Wichita Falls, TX 76301-1152 | 2014-08-08 |
| 1548547094 | Nicole Marie Saenz | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2011-11-11 |
| 1366747917 | Merrill Lee Wood | Nurse Practitioner | 200 Martin Luther King Blvd, Wichita Falls, TX 76301-1152 | 2011-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932706512 | Managing Life Mental Health Clinic LLC | Nurse Practitioner | 2708 Dayton Ave, Wichita Falls, TX 76301-6110 | 2020-10-06 |
| 1386295665 | Amy Wolfe | Nurse Practitioner | 5685 Covey Ln, Wichita Falls, TX 76310-1788 | 2019-09-26 |
| 1982117594 | Jana Vieth | Nurse Practitioner | 3210 Midwestern Pkwy Ste 500a, Wichita Falls, TX 76308-2860 | 2017-11-06 |
| 1376572495 | Cynia Donette Menzik | Nurse Practitioner | 1819 8th Street, Wichita Falls, TX 76301-4219 | 2006-07-01 |
| 1265031074 | Gidgett Marie Bates | Nurse Practitioner | 1819 8th St, Wichita Falls, TX 76301-4212 | 2020-10-22 |
| 1720617699 | Shelli Renee Craig | Nurse Practitioner | 1800 Rose St, Wichita Falls, TX 76301-4219 | 2020-04-03 |
| 1356979371 | Mari Brooke Adams | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4300 | 2020-03-27 |
| 1164053757 | Debra Felderhoff | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4388 | 2020-02-01 |
| 1669024113 | Jennifer Michelle Dillard | Nurse Practitioner | 1600 11th St, Wichita Falls, TX 76301-4300 | 2019-07-15 |
| 1356812416 | Angelia Mack | Nurse Practitioner | 4600 Taft Blvd, Wichita Falls, TX 76308-4935 | 2018-12-16 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.