Individual provider Active NPI

Jeannie Ortiz, RVT

  • Vascular Sonography Radiologic Technologist
  • San Antonio, TX
National Provider Identifier
1215601448
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
147264 Issued in TX
Practice address
718 Lexington Ave
San Antonio, TX 78212-4768
Phone
(210) 251-2024
Fax
(210) 742-9697
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 147264 TX Primary

Addresses

Primary practice location

718 Lexington Ave
San Antonio, TX 78212-4768

Mailing address

24618 Wine Rose Path
San Antonio, TX 78255-2266
Phone (210) 251-2024

Other practice location 1

9819 Huebner Rd Bldg 4
San Antonio, TX 78240-3253
Phone (210) 251-2024

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
147264TXMDVascular Sonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Precise Vascular Sonography LLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

9819 Huebner Rd
Bldg 4
San Antonio, TX 78240
Phone (210) 251-2024

718 Lexington Ave
San Antonio, TX 78212
Phone (210) 251-2024

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.

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1215601448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24618 WINE ROSE PATH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552266",
            "telephone_number": "210-251-2024",
            "fax_number": "210-742-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 LEXINGTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124768",
            "telephone_number": "210-251-2024",
            "fax_number": "210-742-9697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9819 Huebner Rd Bldg 4",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782403253",
            "country_code": "US",
            "telephone_number": "210-251-2024",
            "fax_number": "210-742-9697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JEANNIE",
        "credential": "RVT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": "147264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.