Active NPI
Carlos Ortiz, DNP,APRN, CPNP-AC/PC
- Pediatric Nurse Practitioner
- El Paso, TX
National Provider Identifier
1962741389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 747843
- Practice address
- 14505 Horizon Blvd
El Paso, TX 79928-8564 - Phone
- (915) 852-4089
- NPI assigned
- Feb 5, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 747843 | TX | Primary |
Addresses
Primary practice location
14505 Horizon Blvd
El Paso, TX 79928-8564
Mailing address
14505 Horizon Blvd
Horizon City, TX 79928-8564
Phone (915) 852-4089
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 747843 | Other | TX | ADVANCED PRACTICE REGISTERED NURSE |
| 12427 | Other | TX | PRESCRIPTIVE AUTHORITY NUMBER |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 747843 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ab Pediatric Health Clinic PLLC | Past | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients | |
| Pediatric Group of Central El Paso | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Pediatric Adolescent Medicine Physician
- El Paso, TX
- NPI 1447789250
-
- Pediatric Adolescent Medicine Physician
- El Paso, TX
- NPI 1962435370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1962741389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14505 HORIZON BLVD",
"city": "HORIZON CITY",
"state": "TX",
"postal_code": "799288564",
"telephone_number": "915-852-4089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 HORIZON BLVD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799288564",
"telephone_number": "915-852-4089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "CARLOS",
"credential": "DNP,APRN, CPNP-AC/PC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-05",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "747843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE REGISTERED NURSE",
"identifier": "747843",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCRIPTIVE AUTHORITY NUMBER",
"identifier": "12427",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.