Active NPI
Diana Ortiz
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1669515698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100828
- Practice address
- 919 West 28 and a Half St
Austin, TX 78705-3536 - Phone
- (512) 478-2581
- Fax
- (512) 476-1638
- NPI assigned
- Feb 15, 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 | 100828 | TX | Primary |
Addresses
Primary practice location
919 West 28 and a Half St
Austin, TX 78705-3536
Mailing address
919 West 28 and a Half St
Austin, TX 78705-3536
Phone (512) 478-2581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8T4862 | Other | TX | BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100828 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1669515698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 WEST 28 AND A HALF ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053536",
"telephone_number": "512-478-2581",
"fax_number": "512-476-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 WEST 28 AND A HALF ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787053536",
"telephone_number": "512-478-2581",
"fax_number": "512-476-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "8T4862",
"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, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.