Active NPI
Lesly Tatiana Ortiz, PA-C
- Physician Assistant
- Salina, KS
National Provider Identifier
1154623015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 15-02211
- Practice address
- 501 S Santa Fe Ave
Suite 300
Salina, KS 67401 - Phone
- (785) 823-1032
- Fax
- (785) 452-7807
- NPI assigned
- Nov 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-02211 | KS | |
| Physician Assistant | 363A00000X | 15-02211 | KS | Primary |
Addresses
Primary practice location
501 S Santa Fe Ave
Suite 300
Salina, KS 67401
Mailing address
501 S Santa Fe Ave
Suite 300
Salina, KS 67401
Phone (785) 823-1032
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201243810A | Medicaid | KS |
Other names 1
- Lesly Tatiana Reyes
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-02211 | KS | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Ocoee, FL
- NPI 1073932794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1154623015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S SANTA FE AVE",
"address_2": "SUITE 300",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-823-1032",
"fax_number": "785-452-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S SANTA FE AVE",
"address_2": "SUITE 300",
"city": "SALINA",
"state": "KS",
"postal_code": "67401",
"telephone_number": "785-823-1032",
"fax_number": "785-452-7807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "LESLY",
"middle_name": "TATIANA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-29",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "KS",
"license": "15-02211",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KS",
"license": "15-02211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201243810A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LESLY",
"last_name": "REYES",
"middle_name": "TATIANA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salina, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.