Provider Demographics
NPI:1700750965
Name:MONTOYA, ALLISON DENISE (RDN, LD, MCN)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:DENISE
Last Name:MONTOYA
Suffix:
Gender:F
Credentials:RDN, LD, MCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 RENFERT WAY STE 250
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-5657
Mailing Address - Country:US
Mailing Address - Phone:512-814-8255
Mailing Address - Fax:
Practice Address - Street 1:12221 RENFERT WAY STE 250
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5657
Practice Address - Country:US
Practice Address - Phone:512-814-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT92499133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered