IndividualActive
Jacqueline Elizondo, LAT, OTC, ROT, OPE-C
NPI 1811579683 · Orthopedic Assistant · Lubbock, TX
Provider details
- NPI number
- 1811579683
- Entity type
- Individual
- Primary specialty
- Orthopedic AssistantTechnologists, Technicians & Other Technical Service Providers
- Credential
- LAT, OTC, ROT, OPE-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20-0612 (TX)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
4110 22nd Pl
Lubbock, TX 79410-1122
Phone: (806) 792-4329
Fax: (806) 792-4329
Street-level locationGet directions
Mailing address
6912 E Fm 1729
Idalou, TX 79329-6306
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2022-10-19
- Certified
- 2022-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.