VIVIANA LAUREN LONGORIA-ORTIZ


Address: 1325 Pennsylvania Ave Ste 740, Fort Worth, TX 76104-2144
Phone: 8172505435

VIVIANA LAUREN LONGORIA-ORTIZ (NPI# 1689778938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689778938
Entity Type Individual
Full Name VIVIANA LAUREN LONGORIA-ORTIZ
Credential CPNP-PC
Practice Address 1325 Pennsylvania Ave Ste 740
Fort Worth
TX 76104-2144
Mailing Address 5316 Fallen Leaf St
Fort Worth
TX 76179-1548
Practice Telephone 8172505435
Mailing Telephone 8176588029
Enumeration Date 2006-09-08
Last Update Date 2018-04-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP137387 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 1689778938 05

Office Location

Street Address 1325 PENNSYLVANIA AVE STE 740
City FORT WORTH
State TX
Zip Code 76104-2144

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295755577 Michael Patrick Cotter Pediatrics 1325 Pennsylvania Ave Ste 740, Fort Worth, TX 76104 2006-07-20
1063839116 Lauren Alexandra Goolsbay Hospitalist 1325 Pennsylvania Ave Ste 740, Fort Worth, TX 76104-2144 2014-03-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
Find all providers in zip 76104

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770182636 Jenna Donlon Nurse Practitioner 3201 Western Center Blvd Ste 125, Fort Worth, TX 76137-7135 2020-10-21
1023594009 Erica M Lucas Nurse Practitioner 800 8th Ave Ste 200, Fort Worth, TX 76104-2619 2018-07-13
1003280686 Susan Akberzie Nurse Practitioner 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 2015-11-19
1427489400 Brenda Bosch Nurse Practitioner 11807 Med Park Dr, Ste 365, Fort Worth, TX 76028-3509 2013-12-02
1447535463 Anamarina Jarecke Nurse Practitioner 5300 Buchanan St, Fort Worth, TX 76114-1304 2011-10-21
1770873077 Michelle Beatrice Oconnor Nurse Practitioner 6239 Granbury Rd, Fort Worth, TX 76133-3401 2011-04-08
1912208687 Andrea Madeliene Newman Nurse Practitioner 901 7th Ave Ste 120, Fort Worth, TX 76104-2724 2010-11-10
1629306709 Autumn Brianne Morris Nurse Practitioner 901 W Rosedale St, Fort Worth, TX 76104-4672 2009-11-30
1235466624 Courtney Shea Stewart Nurse Practitioner 5917 Yosemite Dr, Fort Worth, TX 76112-3938 2009-11-06
1548412018 Christie Ramirez Nurse Practitioner 8376 Mojave Trl, Fort Worth, TX 76116-3638 2008-10-16
Find all providers in FORT WORTH

Competitor

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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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