Healthcare Provider Details

I. General information

NPI: 1689542573
Provider Name (Legal Business Name): ZINA ORTIZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7596 W JEWELL AVE
LAKEWOOD CO
80232-6889
US

IV. Provider business mailing address

7596 W JEWELL AVE
LAKEWOOD CO
80232-6889
US

V. Phone/Fax

Practice location:
  • Phone: 719-223-3261
  • Fax: 844-412-7875
Mailing address:
  • Phone: 719-223-3261
  • Fax: 844-412-7875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ZINA ORTIZ
Title or Position: CEO
Credential:
Phone: 425-495-1183