Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Freddy L Montenegro, NP

Individual provider Family Nurse Practitioner · NPI 1306141213

Freddy L Montenegro, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2010, 16 years ago. Practices with Clinica La Familia PC, a 38-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
16
Licensed in
AZ, CA
In the registry since
2011
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

616 E Southern Ave Ste 103
Mesa, AZ 85204
Phone: (602) 569-3999
Fax: (602) 569-3887
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9328 E Raintree Dr, Scottsdale, AZ 85260-2098 — (602) 266-8463

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP5467 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 19900 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence 19900 (CA)

Record details

NPI number1306141213
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 24, 2011
Last updated in NPPESOctober 15, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Clinica La Familia Pc — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa