WANDA IVETTE ORTIZ (NPI# 1861043283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861043283 |
| Entity Type | Individual |
| Full Name | WANDA IVETTE ORTIZ |
| Credential | AGACNP |
| Practice Address |
2401 S 31st St Temple TX 76508-0001 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547243333 |
| Practice Fax Number | 2547242401 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-12-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP143202 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962797951 | Wanda I Ortiz | Pharmacist | 5745 Calle Ortiz, Vega Baja, PR 00693-9832 | 2011-06-17 |
| 1609969799 | Wanda I Ortiz | Dentist | 209 Ave Munoz Rivera, Suite 1410 Populas Center Plaza, San Juan, PR 00918 | 2006-10-02 |
| 1124279773 | Wanda Ortiz | Physical Therapy Assistant | 308 Nw 27th Ave, Miami, FL 33125-3031 | 2008-10-01 |
| 1760695001 | Wanda Ortiz | Pharmacy Technician | 38 Calle Munoz Rivera, Patillas, PR 00723-2610 | 2007-05-07 |
| 1578787578 | Wanda I. Ortiz | Pharmacist | 1324 Calle Canada, De Diego Ave, San Juan, PR 00920-3860 | 2007-04-12 |
| 1821129750 | Wanda Ortiz | Pharmacy Technician | D32 Calle Marginal, Extencion Forest Hills, Bayamon, PR 00959-5555 | 2007-03-09 |
| 1275670739 | Wanda I Ortiz | Pharmacy Technician | #37 Luis Munoz Rivera, Santa Isabel, PR 00757 | 2007-01-31 |
| 1356380141 | Wanda Ortiz | Dentist | 731 White Plains Rd, Bronx, NY 10473-2631 | 2006-06-06 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
| Find all providers in zip 76508 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707860 | Marylyn Mitchell | Nurse Practitioner | 2120 Broken Shoe Trl, Temple, TX 76502-0085 | 2020-07-06 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1871005694 | Karen Cooper | Nurse Practitioner | 2401 S. 31st St, Division of Cardiology, Electrophysiology, and Pacing, Temple, TX 76508 | 2017-11-02 |
| 1841642329 | Kristina Trembly | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-7709 | 2016-07-07 |
| 1730559097 | Lindsey Diaz | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2015-09-30 |
| 1083010763 | Anjetta Granvinetta Atkins | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2014-11-07 |
| 1215281472 | Janalei Eve Stovall | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508 | 2012-11-08 |
| 1043577463 | Moira Jo Pyle | Nurse Practitioner | 546 N Kegley Rd, Temple, TX 76502-4069 | 2012-04-23 |
| 1447521299 | Kathryn Marie Schmidt | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2012-01-24 |
| Find all providers in TEMPLE | ||||
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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.