Individual provider Active NPI

Trina Allemond Ortego, FNP-C

  • Rural Health Clinic/Center
  • Opelousas, LA
National Provider Identifier
1760832943
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Practice address
2949 S Union St
Opelousas, LA 70570-5740
Phone
(337) 948-9606
NPI assigned
Jun 17, 2016
Last updated
May 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Nurse Practitioner 363L00000X AP08802 LA
Family Nurse Practitioner 363LF0000X AP08802 LA

Addresses

Primary practice location

2949 S Union St
Opelousas, LA 70570-5740

Mailing address

2949 S Union St
Opelousas, LA 70570-5740
Phone (337) 948-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116002072 LA Practitioner - Nurse Practitioner 1254624208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ortego Healthcare LLCGroup PAC ID 5496181141, 2 clinicians

Practice addresses (Care Compare)

2949 S Union St
Opelousas, LA 70570-5740
Phone (337) 948-9606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP08802LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan Brent Prather, M.D., Apmc CurrentSince Dec 1, 2017 Accepting new patients
Ortego Healthcare LLC Rural Health CurrentSince Feb 15, 2020 Accepting new patients

Locations

2949 S Union St
Opelousas, LA 70570
Phone (337) 948-9606

Interoperability endpoints

  • Direct secure messaging: trina.ortego.1@20657.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ortego Family Medicine Allergy & AsthmaOpelousas, LA, CCN 193969 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (51%)
Aug 21, 2019
Aug 21, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1760832943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 S UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705740",
            "telephone_number": "337-948-9606",
            "fax_number": "337-948-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 S UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705740",
            "telephone_number": "337-948-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGO",
        "first_name": "TRINA",
        "middle_name": "ALLEMOND",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08802",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.