Miranda Ortiz

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

60138A Floyd Ave
Joint Base Lewis McChord, WA 98433-1591

Phone

(917) 574-7759

NPI assigned

Jan 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Miranda Ortiz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1093223752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60138A FLOYD AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984331591",
            "telephone_number": "917-574-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60138A FLOYD AVE",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984331591",
            "telephone_number": "917-574-7759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "MIRANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "ORTIZ",
            "prefix": "MRS.",
            "credential": "CEO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrew Warren Nielsen, PA-C
• Jeremy James Noble
• Lars Benjamin Nordang, DDS
• Aaron Olsen, RN
• Erica Orthman, PHARMD
• Alicia Pabilona
• Brianna Cali Pace, ATC
• Cassandra Camba Padama
• Jamie Lynn Parker
• Brenda Pastrana, LCSW

• Prosthetics Case Management in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Prosthetics Case Management in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2018; 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.