Elisabeth Gayle Ortiz, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN11034456 Issued in FL

Practice address

720 W Princeton St
Orlando, FL 32804-5214

Phone

(407) 553-8587

Fax

(407) 537-2063

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elisabeth Jennette Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Breakthrough HQ, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Orlando, FL
  • NPI 1215660774
  NPD
• The Breakthrough Lounge

  • Family Nurse Practitioner
  • Orlando, FL
  • NPI 1649094483
  NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1821854787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GREENE ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292084001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W PRINCETON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045214",
            "telephone_number": "407-553-8587",
            "fax_number": "407-537-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ELISABETH",
        "middle_name": "GAYLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11034456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISABETH",
            "last_name": "JENNETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cristina Maria Ortiz, LCSW
• Cynthia Ortiz, PA
• Destiny Ortiz
• Donna P. Ortiz, APRN
• Elis M Ortiz Jr.
• Erika Mariela Ortiz, MOTR/L
• Evelyn C Ortiz
• Felix Angel Ortiz, PSY.D.
• Ginette Marie Ortiz, PSY D
• Ian Alexander Ortiz

• Psychiatric/Mental Health Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.