Active NPI
Deborah Louise Ortiz, ANP
- Adult Health Nurse Practitioner
- Elmhurst, IL
National Provider Identifier
1255529640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Practice address
- 110 E Schiller St
Suite 318
Elmhurst, IL 60126-2858 - Phone
- (630) 832-1775
- Fax
- (630) 832-3078
- NPI assigned
- Oct 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | IL | Primary |
Addresses
Primary practice location
110 E Schiller St
Suite 318
Elmhurst, IL 60126-2858
Mailing address
110 E Schiller St
Suite 318
Elmhurst, IL 60126-2858
Phone (630) 832-1775
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209005725 | IL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paragon Clinical LLC | Adult Health | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191974400000",
"number": "1255529640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 E SCHILLER ST",
"address_2": "SUITE 318",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262858",
"telephone_number": "630-832-1775",
"fax_number": "630-832-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E SCHILLER ST",
"address_2": "SUITE 318",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262858",
"telephone_number": "630-832-1775",
"fax_number": "630-832-3078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "DEBORAH",
"middle_name": "LOUISE",
"credential": "ANP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-10",
"last_updated": "2007-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.