Active NPI
Jeffery Harold Ortolon, LVN
- Licensed Practical Nurse
- Newton, TX
National Provider Identifier
1245049212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 181371
- Practice address
- 6120 County Road 2001
Newton, TX 75966-5730 - Phone
- (409) 383-4114
- NPI assigned
- Jan 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 181371 | TX | Primary |
Addresses
Primary practice location
6120 County Road 2001
Newton, TX 75966-5730
Mailing address
6120 County Road 2001
Newton, TX 75966-5730
Phone (409) 383-4114
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
| License | State | Type | Specialty |
|---|---|---|---|
| 181371 | TX | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735948800000",
"number": "1245049212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6120 COUNTY ROAD 2001",
"city": "NEWTON",
"state": "TX",
"postal_code": "759665730",
"telephone_number": "409-383-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6120 COUNTY ROAD 2001",
"city": "NEWTON",
"state": "TX",
"postal_code": "759665730",
"telephone_number": "409-383-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTOLON",
"first_name": "JEFFERY",
"middle_name": "HAROLD",
"name_prefix": "Mr.",
"credential": "LVN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-04",
"last_updated": "2025-01-04",
"certification_date": "2025-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TX",
"license": "181371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.