KELLY ORTEGA (NPI# 1306220793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306220793 |
| Entity Type | Individual |
| Full Name | KELLY ORTEGA |
| Credential | NP |
| Practice Address |
1500 S Fairfield Ave Chicago IL 60608-1782 |
| Mailing Address |
1927 Maple Ave Berwyn IL 60402-1551 |
| Practice Telephone | 7083289509 |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95104478 | CA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 692485 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
209016279 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710034681 | Kelly Ortega | Anesthesiology | 1310 24th Ave S, Department of Anesthesiology, G-02, Nashville, TN 37212-2637 | 2007-01-04 |
| Street Address |
1500 S FAIRFIELD AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60608-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275564197 | Paul M. Berkowitz | Psychiatry & Neurology | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2006-07-06 |
| 1528668274 | Mount Sinai Hospital Medical Center | Clinic/Center | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-10-30 |
| 1669089306 | Sabin Gajurel | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-09-27 |
| 1710591854 | Trisha May Homan | Nurse Practitioner | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-09-05 |
| 1861005134 | Elizaveta Vitkovskaya | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-26 |
| 1104439751 | Vishal Kwatra | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-24 |
| 1265044226 | Temitayo Kafisanwo | Nurse Practitioner | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-20 |
| 1891306577 | Nardeen Morkos | Family Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-14 |
| 1659981983 | Anuradha Sakhuja | Internal Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-08-02 |
| 1508474818 | Anthony Adly Messiha | Family Medicine | 1500 S Fairfield Ave, Chicago, IL 60608-1782 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390047 | Bethuna Shields | Occupational Therapist | 1401 South California Ave, Chicago, IL 60608 | 2020-06-11 |
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1205481058 | Joshua Hartman | Pharmacist | 345 Csb Mc 884, 840 S. Wood St, Chicago, IL 60608 | 2019-08-08 |
| 1194386706 | Mount Sinai Hospital, Chicago | Internal Medicine | Mount Sinai Hospital, 1500 S Fairfield Ave, Chicago, IL 60608 | 2019-06-25 |
| 1841754256 | Julia Bates | Occupational Therapist | 1640 W. Roosevelt Rd., 415 Dhsp (mc 726), Chicago, IL 60608 | 2019-01-30 |
| 1194205781 | Anais J Robles | Contractor | 1626 S Allport St, Chicago, IL 60608 | 2018-08-14 |
| 1114412970 | Dmitri Zbarsky | Internal Medicine | 1500 South Fairfield Ave., F-914, Chicago, IL 60608 | 2018-06-25 |
| 1740773050 | Alexia Ilian Derma Salazar | Speech-Language Pathologist | 2301 W 19th St - 3rd Floor Rear, Chicago, IL 60608 | 2018-06-11 |
| 1912424730 | Pareen Modi | Pharmacist | 2539 South Western Avenue, Chicago, IL 60608 | 2017-08-23 |
| 1952824302 | Raquel Gonzalez Heredia | Surgery | 1500 South Fairfield Ave, Chicago, IL 60608 | 2017-07-18 |
| Find all providers in zip 60608 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549755 | Maria Andreea Bordeianu | Nurse Practitioner | 6050 N California Ave, Chicago, IL 60659-3916 | 2020-05-16 |
| 1114574886 | Hyde Park Mental Wellness | Nurse Practitioner | 1525 E 55th St Ste 205, Chicago, IL 60615-5584 | 2019-08-19 |
| 1689232522 | Sarah Ball Schrock | Nurse Practitioner | 3310 W Division St, Chicago, IL 60651-2301 | 2019-06-05 |
| 1982168407 | Richardson Psychiatric | Nurse Practitioner | 3660 N Lake Shore Dr Ste 201, Chicago, IL 60613-5302 | 2019-01-29 |
| 1386117232 | Prudent Alliance for Healthcare, LLC | Nurse Practitioner | 6159 W Eddy St, Chicago, IL 60634-4122 | 2019-01-03 |
| 1770068421 | Gian Bonador | Nurse Practitioner | 1134 W Granville Ave Apt 715, Chicago, IL 60660-5047 | 2018-09-28 |
| 1790115293 | Stacey Marie Meyers | Nurse Practitioner | 6439 N Sheridan Rd Ste 310, Chicago, IL 60626-5364 | 2013-11-19 |
| 1326385824 | Deborah Francine Bump | Nurse Practitioner | 6918 S Euclid Ave, Chicago, IL 60649-1512 | 2013-01-03 |
| 1104058221 | Lester Eugene Lamee Jr. | Nurse Practitioner | 251 E Huron Street, Northwestern Memorial Hospital, Chicago, IL 60611 | 2009-08-24 |
| 1720003577 | Janice E Stern | Nurse Practitioner | 1645 W Jackson Blvd Ste 602, Chicago, IL 60612 | 2006-07-13 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.