Active NPI
Kimberly Ortiz, MEDICAL ASSISTANT
- Technician
- Lincoln, DE
National Provider Identifier
1275931305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician
- License
- 4322-1885
- Practice address
- 22034 Hackney Cir
Lincoln, DE 19960-2528 - Phone
- (302) 424-0600
- Fax
- (302) 422-6214
- NPI assigned
- Dec 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | 4322-1885 | DE | Primary |
Addresses
Primary practice location
22034 Hackney Cir
Lincoln, DE 19960-2528
Mailing address
22034 Hackney Cir
Lincoln, DE 19960-2528
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 |
|---|---|---|---|
| 4322-1885 | DE | MD | Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417737600000",
"number": "1275931305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22034 HACKNEY CIR",
"city": "LINCOLN",
"state": "DE",
"postal_code": "199602528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22034 HACKNEY CIR",
"city": "LINCOLN",
"state": "DE",
"postal_code": "199602528",
"telephone_number": "302-424-0600",
"fax_number": "302-422-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "KIMBERLY",
"credential": "MEDICAL ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "DE",
"license": "4322-1885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.