Healthcare Provider Details

I. General information

NPI: 1699624791
Provider Name (Legal Business Name): ERIKA MAY LAZO ORTIZ FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4998 CROSSINGS CIR STE 100
MT JULIET TN
37122-2996
US

IV. Provider business mailing address

2406 ERIN LN # 2406
NASHVILLE TN
37221-2238
US

V. Phone/Fax

Practice location:
  • Phone: 615-288-4087
  • Fax:
Mailing address:
  • Phone: 323-868-9534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number41208
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: