Individual provider Active NPI

Joanna Ortega Ortiz, RN, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1386618858
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110001370 Issued in VA
Practice address
7700 Wisconsin Ave
7TH Floor-Federal Occupational Health Medical Employabi
Bethesda, MD 20857
Phone
(757) 583-4328
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001149229 VA
Physician Assistant 363A00000X 006095 GA
Physician Assistant 363A00000X C0002889 MD
Physician Assistant 363A00000X 0110001370 VA Primary

Addresses

Primary practice location

7700 Wisconsin Ave
7TH Floor-Federal Occupational Health Medical Employabi
Bethesda, MD 20857

Mailing address

7700 Wisconsin Ave
7TH Floor-Federal Occupational Health Medical Employabi
Bethesda, MD 20857
Phone (757) 583-4328

Other identifiers 4

IdentifierTypeStateIssuer
006095OtherGAPHYSICIAN ASSISTANT
C0002889OtherMDPHYSICIAN ASSISTANT
0001149229OtherVANURSING
0110001370OtherVAPHYSICIAN ASSISTANT

Other names 1

  • Joanna Ortega Leung Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001149229VAMDRegistered Nurse
C0002889MDMDPhysician Assistant
0110001370VAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1386618858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WISCONSIN AVE",
            "address_2": "7TH FLOOR-FEDERAL OCCUPATIONAL HEALTH MEDICAL EMPLOYABI",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20857",
            "telephone_number": "757-583-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 WISCONSIN AVE",
            "address_2": "7TH FLOOR-FEDERAL OCCUPATIONAL HEALTH MEDICAL EMPLOYABI",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20857",
            "telephone_number": "757-583-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JOANNA",
        "middle_name": "ORTEGA",
        "credential": "RN, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001149229",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "006095",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002889",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "006095",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "C0002889",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING",
            "identifier": "0001149229",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT",
            "identifier": "0110001370",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "LEUNG",
            "middle_name": "ORTEGA",
            "credential": "RN, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.