Healthcare Provider Details

I. General information

NPI: 1164159778
Provider Name (Legal Business Name): REBECCA MONTEMAYOR STUBBLEFIELD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2022
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 ALCOTT ST STE 302
WESTMINSTER CO
80031-4030
US

IV. Provider business mailing address

1840 MARKET ST APT 307
DENVER CO
80202-2757
US

V. Phone/Fax

Practice location:
  • Phone: 382-487-5821
  • Fax:
Mailing address:
  • Phone: 970-896-6548
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11020521
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1000154
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: