Healthcare Provider Details

I. General information

NPI: 1699690487
Provider Name (Legal Business Name): CRYSTAL ANN MONTES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 SW GAGE BLVD
TOPEKA KS
66622-0001
US

IV. Provider business mailing address

2205 SW HIGH AVE
TOPEKA KS
66611-1421
US

V. Phone/Fax

Practice location:
  • Phone: 785-350-4347
  • Fax:
Mailing address:
  • Phone: 785-350-4347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number13-62712-022
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: