Individual provider Active NPI

Tiffany Ortiz, FNP-C

  • Nurse Practitioner
  • Los Ranchos, NM
National Provider Identifier
1790469823
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
73995 Issued in NM
Practice address
6501 4TH St NW Ste D
Los Ranchos, NM 87107-5800
Phone
(505) 431-0412
Fax
(505) 214-5872
NPI assigned
Jun 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X N-89561 NM
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 73995 NM Primary

Addresses

Primary practice location

6501 4TH St NW Ste D
Los Ranchos, NM 87107-5800

Mailing address

6501 4TH St NW Ste D
Los Ranchos, NM 87107-5800
Phone (505) 431-0412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20240830001080 NM Practitioner - Nurse Practitioner 1254870546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Women'S Oncology IncGroup PAC ID 7012923147, 12 clinicians

Practice addresses (Care Compare)

5700 Harper Dr NE
Suite 410
Albuquerque, NM 87109-3585
Phone (505) 843-7813

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N-89561NMMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer J Hardenbrook MD PC Multi-Specialty CurrentSince Aug 19, 2024 Accepting new patients
Southwest Women'S Oncology Inc. Multi-Specialty CurrentSince May 5, 2025 Accepting new patients
Family Medicine PC Multi-Specialty CurrentSince Aug 19, 2024 Accepting new patients
Vessel Health LLC Multi-Specialty Past Accepting new patients

Locations

5700 Harper Dr NE
Ste 410
Albuquerque, NM 87109
Phone (505) 372-1589

3825 Eubank Blvd NE
Ste A
Albuquerque, NM 87111
Phone (505) 292-8575

5700 Harper Dr NE
Albuquerque, NM 87109
Phone (505) 828-2273

2400 Unser Blvd SE
Ste 28300
Rio Rancho, NM 87124
Phone (505) 559-6100

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1790469823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 4TH ST NW STE D",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871075800",
            "telephone_number": "505-431-0412",
            "fax_number": "505-214-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 4TH ST NW STE D",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871075800",
            "telephone_number": "505-431-0412",
            "fax_number": "505-214-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NM",
            "license": "N-89561",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "73995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Ranchos, NM

Sources for this page

Verify at the official NPI Registry.