Active NPI
Waleska Del Carmen Ortiz, MD
- Psychiatry Physician
- West Lake Hills, TX
National Provider Identifier
1114122777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M8890
- Practice address
- 1250 S Capital of Texas Hwy
BLDG 111 Ste 380
West Lake Hills, TX 78746-6446 - Phone
- (512) 330-3506
- NPI assigned
- Jun 15, 2007
- Last updated
- Sep 18, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BP1-0017940 | TX | |
| Psychiatry Physician | 2084P0800X | M8890 | TX | Primary |
Addresses
Primary practice location
1250 S Capital of Texas Hwy
BLDG 111 Ste 380
West Lake Hills, TX 78746-6446
Mailing address
9102 Dorella LN
Austin, TX 78736-7984
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0017940 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1114122777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 DORELLA LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787367984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 S CAPITAL OF TEXAS HWY",
"address_2": "BLDG 111 STE 380",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466446",
"telephone_number": "512-330-3506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "WALESKA",
"middle_name": "DEL CARMEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-15",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "BP1-0017940",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M8890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.