KATHLEEN R MONTANEZ (NPI# 1750763637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750763637 |
| Entity Type | Individual |
| Full Name | KATHLEEN R MONTANEZ |
| Credential | MD |
| Practice Address |
Naval Hospital Guam Psc 455 Fpo AP 96540 |
| Mailing Address |
Naval Medical Ctr 348000 Bob Wilson Drive San Diego CA 92134-5000 |
| Practice Telephone | 6713449775 |
| Mailing Telephone | 6195329795 |
| Mailing Fax Number | 6195327508 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2019-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE MEDICAL BOARD | 0101260834 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Naval Medical Ctr, 348000 Bob Wilson Drive, San Diego, CA 921345000 | 6195329795 | 6195327508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891006284 | Kathleen Anne Montanez | Pharmacist | 327 Chestnut St, Union, NJ 07083-9426 | 2010-06-30 |
| Street Address |
NAVAL HOSPITAL GUAM PSC 455 |
| City | FPO |
| State | AP |
| Zip Code | 96540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730749714 | Tristan J. Kizy | Registered Nurse | Us Naval Hospital Guam Psc 455, Fpo, AP 96540 | 2019-06-20 |
| 1669983060 | Sze King Tang | Pharmacist | U.S. Naval Hospital Guam Pharmacy PCs 455, Fpo, GU 96540 | 2017-10-12 |
| 1740488485 | Devron John Felder | Military Health Care Provider | Naval Special Warfare Unit One, Psc 455 Box 182, Fpo, AP 96540 | 2007-07-03 |
| 1881086502 | Katherine Biggs | Emergency Medicine | U.S. Naval Hospital Guam, Psc 455, Fpo, AP 96540 | 2015-03-04 |
| 1144725839 | Eduardo Servin | Military Health Care Provider | Naval Base Guam, Eodmu 5, Santa Rita, GU 96540-0003 | 2018-03-26 |
| 1669602298 | Christopher Avery Bartlett | Military Health Care Provider | Psc 455 Box 152, Fpo, AP 96540-0152 | 2009-07-16 |
| 1215306675 | Bryan Lopez | Military Health Care Provider | Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 | 2015-09-16 |
| 1518525583 | William Edward Mcbreen Jr. | Military Health Care Provider | Coastal Riverine Group 1 Detachment Guam, Fpo, AP 96540-1400 | 2019-06-04 |
| 1679672620 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 198, Dededo, GU 96540-1816 | 2006-09-22 |
| 1003877879 | Mario John Mannarino | Military Health Care Provider | Msfsc Ship Support Unit, Guam, Psc 455, Box 198, Fpo, AP 96540-2600 | 2006-03-31 |
| Find all providers in zip 96540 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215306675 | Bryan Lopez | Military Health Care Provider | Psc 455 Box 182, Medical Department, Navspecwaunit One, Fpo, AP 96540-1182 | 2015-09-16 |
| 1013385533 | Yomaira Maritza Gonzalez | Military Health Care Provider | Psc 475 Box 1345, Fpo, AP 96350-9998 | 2015-09-15 |
| 1164827135 | Mark Steven Little | Military Health Care Provider | 3d Marine Division, Unit 35801, Fpo, AP 96382-5801 | 2014-11-03 |
| 1598164592 | Jami Erickson | Military Health Care Provider | Uss Dewey, Ddg 105, Fpo, AP 96663-1303 | 2014-08-15 |
| 1922359702 | Spencer Corey Southerland | Military Health Care Provider | Seal Team 2, Unit 60003, Fpo, AE 09501-4633 | 2012-09-20 |
| 1609164946 | Adam Alma Reel | Military Health Care Provider | 3d Recon Bn, Unit 36180, Fpo, AP 96602-6180 | 2011-07-20 |
| 1972742773 | 8carla T Yballe | Military Health Care Provider | Bldg. 9497 Kab Psc 4821, Fpo, AP 96362 | 2009-02-18 |
| 1528210374 | John Wesley Huckleberry II | Military Health Care Provider | Unit 100236 Drawer 2703, Uss Dwight D Eisenhower Cvn 69, Fpo, AE 09532-3627 | 2008-10-10 |
| 1851561518 | Christopher Michael Brown | Military Health Care Provider | Uss Tripoli (lha-7), Medical Department, Fpo, AP 99765 | 2008-03-09 |
| 1376739722 | Gary B. Hoyt | Military Health Care Provider | Psc 482 Box 2577, Fpo, AP 96362 | 2007-09-19 |
| Find all providers in FPO | ||||
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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.