Active NPI
Erica F Ortiz, MCD, CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1295868461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102682
- Practice address
- 2525 Wallingwood,
BLDG #2
Austin, TX 78746 - Phone
- (512) 327-6179
- Fax
- (512) 327-1545
- NPI assigned
- Mar 14, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102682 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood,
BLDG #2
Austin, TX 78746
Mailing address
2525 Wallingwood,
BLDG #2
Austin, TX 78746
Phone (512) 327-6179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87654T | Other | TX | BCBS PROVIDER # |
| 003614701 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102682 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1295868461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD,",
"address_2": "BLDG #2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-327-6179",
"fax_number": "512-327-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD,",
"address_2": "BLDG #2",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78746",
"telephone_number": "512-327-6179",
"fax_number": "512-327-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ERICA",
"middle_name": "F",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102682",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "87654T",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003614701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.