Jacqueline M Ortega, SLP-CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLPL0821 Issued in AZ

Practice address

5034 S Wild Mare Rd
Tucson, AZ 85757-9246

Phone

(520) 883-6307

NPI assigned

Jan 25, 2007

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

Other identifiers 1

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.

• Mana'Olana Speech Therapy

  • Speech-Language Pathologist
  • Tucson, AZ
  • NPI 1104105642
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093860140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5034 S WILD MARE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857579246",
            "telephone_number": "520-883-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5034 S WILD MARE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857579246",
            "telephone_number": "520-883-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL0821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543109",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Ortega, DO
• Elizabeth Ortega, DPT
• Guadalupe Ortega
• Guadalupe Ortega, APRN,ACNP-BC, FNP-BC
• Gustavo Ortega, M.D.
• Vanessa Kristine Ortega, RN
• Orthassist
• Ortho Sport & Spine Physicians Tucson
• Orthodontic Professionals PC
• Orthodontic Specialists of Tucson, PC

• Speech-Language Pathologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.