Individual Healthcare Provider
Colleen Aletha Montaque
Provider's NPPES record last updated: December 7, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1134607286
- Primary Specialty
- Registered Nurse — Emergency
- Practice Location
- Dacula, Georgia
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 8:41 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Emergency
Nursing Service Providers
Definition to come...
Taxonomy code 163WE0003X Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000XObstetrics & Gynecology
Gynecology
Allopathic & Osteopathic Physicians
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Taxonomy code 207VG0400X
Provider-Reported License Information
- Registered Nurse (Georgia)
- RN221313
- Family Medicine (Georgia)
- RN221313
- Obstetrics & Gynecology (Georgia)
- RN221313
Practice Locations
Practice Location
2926 Mill Park Ct
Dacula, Georgia 30019-3254
Phone: (347) 678-2865
Record Information
- Enumeration Date
- July 31, 2018
- Provider's NPPES Record Last Updated
- December 7, 2023
- Certification Date
- November 13, 2020
- NPISignal NPPES Dataset
- August 2026
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