Krystal Ortiz

Primary specialty

SpecialistTaxonomy code 174400000X

License

1418398201 Issued in NY

Practice address

2503 Westervelt Ave
Bronx, NY 10469-6121

Phone

(917) 809-0127

NPI assigned

Jun 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1326532979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 WESTERVELT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696121",
            "telephone_number": "917-809-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 WESTERVELT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104696121",
            "telephone_number": "917-809-0127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 E 149th St Fl 4",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515626",
            "country_code": "US",
            "telephone_number": "646-666-3088 x296",
            "fax_number": "347-402-8192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1418398201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kortiz90@gmail.com",
            "affiliation": "N",
            "address_1": "2503 Westervelt Ave",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104696121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Juliana Ortiz, PH.D.
• Karen Viviana Ortiz
• Kathryn Faith Ortiz
• Kay Ortiz
• Kristopher Alexander Ortiz, MD
• Lillian Ortiz
• Lorquianna Ortiz
• Luis A Ortiz, P A
• Madeline Ortiz, LMSW
• Marcelle Ortiz, RN

• Specialist in Bronx, NY
• Providers in Bronx, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.