IndividualActive
Jenna Ortiz
NPI 1104718469 · Nurse Practitioner · Live Oak, TX
Provider details
- NPI number
- 1104718469
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1215373 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12500 Judson Rd Ste 300
Live Oak, TX 78233-4146
Phone: (210) 967-0096
Fax: (210) 967-0383
Street-level locationGet directions
Mailing address
12500 Judson Rd Ste 300
Live Oak, TX 78233-4146
Additional practice locations (1)
- 11212 State Highway 151 Ste 100San Antonio, TX 78251-4500Phone: (210) 703-8925
Registry dates
- Enumerated
- 2025-07-18
- Last updated
- 2026-04-23
- Certified
- 2026-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.