LAUREN MONTANO (NPI# 1851828784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851828784 |
Entity Type | Individual |
Full Name | LAUREN MONTANO |
Credential | PA-C |
Practice Address |
12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9499 |
Practice Telephone | 5052812460 |
Practice Fax Number | 5052812463 |
Enumeration Date | 2017-05-23 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | PA2017-0031 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2017-0031 | NM | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
104 Quail Trl Unit B, Edgewood, NM 870157185 | 5053090455 |
Street Address |
12127B HWY 14 N STE 5 |
City | CEDAR CREST |
State | NM |
Zip Code | 87008-9499 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770554149 | Roger Wesley Gildersleeve | Family Medicine | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2006-02-01 |
1083212195 | Amanda Torgerson | Registered Nurse | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9557 | 2020-10-12 |
1447770698 | Shawn M Mcgee | Nurse Practitioner | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-06-20 |
1811424674 | Placitas Mountain Medical, Inc. | Family Medicine | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9499 | 2017-05-11 |
1275542896 | Linda Sue Agnes | Nurse Practitioner | 12127b Hwy 14 N Ste 5, Cedar Crest, NM 87008-9461 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861090342 | Rio Grande Emdr Therapy, LLC | Community/Behavioral Health | 6 Sierra Vista Drive, Cedar Crest, NM 87008 | 2020-10-15 |
1487973145 | Phoenix Helm Simpson | Marriage & Family Therapist | 10 Haven Dr., Cedar Crest, NM 87008 | 2010-05-20 |
1548404825 | Amir H. Manoutchehri M.d. PC | Clinic/Center | 12125 State Highway 14 N., Cedar Crest, NM 87008 | 2009-04-30 |
1649412321 | Justin Andrew Kan | Emergency Medicine | 50 Calyx Ln, Cedar Crest, NM 87008 | 2009-03-27 |
1316184831 | Monique Y Keulen-nolet | Nurse Practitioner | 12127b North Highway 14, Suite #5, Cedar Crest, NM 87008 | 2009-01-21 |
1023141215 | Jana R. Covell | Physical Therapist | 12127 B3 N. Hwy 14, Cedar Crest, NM 87008 | 2007-03-14 |
1124156815 | Villa Santa Maria | Residential Treatment Facility, Emotionally Disturbed Children | 19 Cirquela Rd, Cedar Crest, NM 87008 | 2007-03-02 |
1083740971 | Amy Beth Marie Miller | Physical Therapist | 12127 B-3 North Highway 14, Cedar Crest, NM 87008 | 2007-02-26 |
1215019237 | Cedar Crest Vision LLC | Optometrist | 12220 North Highway 14, Suite 3, Cedar Crest, NM 87008 | 2006-10-19 |
1972519759 | Orrin Kent Mcleod | Family Medicine | 12127b N Hwy 14, Suite 5, Cedar Crest, NM 87008 | 2006-07-31 |
Find all providers in zip 87008 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
Find all providers with the same taxonomy |
City | CEDAR CREST |
Zip Code | 87008 |
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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.