Active NPI
Tiffany Ortiz, FNP-C
- Nurse Practitioner
- Los Ranchos, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 73995
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | N-89561 | NM | |
| Nurse Practitioner | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| N-89561 | NM | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spencer J Hardenbrook MD PC | Multi-Specialty | Current | Accepting new patients |
| Southwest Women'S Oncology Inc. | Multi-Specialty | Current | Accepting new patients |
| Family Medicine PC | Multi-Specialty | Current | 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.
-
- Gynecology Physician
- Albuquerque, NM
- NPI 1942372479
Multi-Specialty, NM
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.