Individual provider Active NPI

Nancy Ortiz-Camacho, LND

  • Nutritionist
  • Hormigueros, PR
National Provider Identifier
1972042919
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
1049 Issued in PR
Practice address
Calle 345 KM 4.6 Int
Bo Lavaderos
Hormigueros, PR 00660
Phone
(787) 531-8296
NPI assigned
Feb 22, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X 1049 PR Primary

Addresses

Primary practice location

Calle 345 KM 4.6 Int
Bo Lavaderos
Hormigueros, PR 00660

Mailing address

PO Box 764
Guanica, PR 00653-0764
Phone (787) 531-8296

Other names 1

  • N/a N/a Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210817002877 PR Practitioner - Registered Dietitian Or Nutrition Professional 1951706779 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vita Care,LLC CurrentSince Apr 2, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nancy.ortizcamacho.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 1

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1972042919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530764",
            "telephone_number": "787-531-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 345 KM 4.6 INT",
            "address_2": "BO LAVADEROS",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "00660",
            "telephone_number": "787-531-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-CAMACHO",
        "first_name": "NANCY",
        "credential": "LND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "PR",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hormigueros, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.