Yaneishka Odracir Ortiz

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

202018 Issued in RI

Practice address

640 Broad St
Providence, RI 02907-1463

Phone

(401) 390-6816

NPI assigned

Jul 11, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centro de Innovacion Mujer Latina

  • Community Health Worker
  • Providence, RI
  • NPI 1992685358
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1083505648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029191620",
            "telephone_number": "347-935-2856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071463",
            "telephone_number": "401-390-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "YANEISHKA",
        "middle_name": "ODRACIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "RI",
            "license": "202018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iris Ortiz, OWNER
• Jennifer Ortiz
• Jessie Ortiz
• Nicole Ortiz, LCSW
• Roberto Ortiz, M.D.
• Zuleika Marie Ortiz
• Adena J Osband, MD
• Kyle Osborne, MSW
• Tiffany Osborne
• Ademola O Osiyoye

• Community Health Worker in Providence, RI
• Providers in Providence, RI by specialty
• Community Health Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.