KELLY ORTEGA APN-PHMNP-BC NPI 1306220793

NPI Information

NPI: 1306220793
Provider Name: KELLY ORTEGA, APN-PHMNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2650 RIDGE AVE
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2540
Get Directions

Kelly Ortega, APN-PHMNP-BC is a psychiatric/mental health nurse practitioner in Evanston, IL with 8 years of experience. Kelly Ortega, APN-PHMNP-BC NPI is 1306220793. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2650 RIDGE AVE
EVANSTON, IL
ZIP 60201-700
Phone: (847) 570-2540

The NPI 1306220793 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 6/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		692485	NEW YORK	No
2	163W00000X	Registered Nurse		95104478	CALIFORNIA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	209016279	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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