Luis Manuel Ortiz, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0002048061 Issued in VA

Practice address

576 Jefferson Ave
McDonald Army Health Center
Fort Eustis, VA 23604-5548

Phone

(757) 314-7522

Fax

(757) 314-7524

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

Yes

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1619966876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUMMEGLEN RIDGE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236028319",
            "telephone_number": "757-249-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 JEFFERSON AVE",
            "address_2": "MCDONALD ARMY HEALTH CENTER",
            "city": "FORT EUSTIS",
            "state": "VA",
            "postal_code": "236045548",
            "telephone_number": "757-314-7522",
            "fax_number": "757-314-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "LUIS",
        "middle_name": "MANUEL",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0002048061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Dean Nixon, M.D.
• Benjamin Nusbaum, RDN
• Karen Nyman, FNP, BC
• Coretta Oden, LCSW
• Chinyelu Chioma Onyedike, FNP
• Michael Christopher Owens, DPT
• Preciosa P Pacia-Rantayo
• Edward S Pak, DO
• Danielle Parker
• Mimi I Peak, M.D, M.P.H.

• Licensed Practical Nurse in Fort Eustis, VA
• Providers in Fort Eustis, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.