Ardis Fuentes-Ortiz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN318451 Issued in PA

Practice address

2600 N American St
Philadelphia, PA 19133-3413

Phone

(215) 739-2669

Fax

(215) 739-5879

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1619737434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 VISTA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191113724",
            "telephone_number": "267-207-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N AMERICAN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191333413",
            "telephone_number": "215-739-2669",
            "fax_number": "215-739-5879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E Allegheny Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191343832",
            "country_code": "US",
            "telephone_number": "215-427-1010 x304",
            "fax_number": "215-427-5824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUENTES-ORTIZ",
        "first_name": "ARDIS",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN318451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Fuchs
• John Fudali
• Kim Louise Fudge, PA-C
• Rebecca Jean Fuehrer
• Flor Fuentes Murillo
• Ashley Marie Fuentes
• Leslie Fuentes
• Claudia Fuerst Balderston, DMD
• Keri N Fugarolas, MD
• Perrin Benet Smith Fugo, MD

• Licensed Practical Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.