MICHELLE INEZ PORTER (NPI# 1154846301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154846301 |
| Entity Type | Individual |
| Full Name | MICHELLE INEZ PORTER |
| Credential | PA-C |
| Practice Address |
4001 Dutchmans Ln Louisville KY 40207-4714 |
| Mailing Address |
10007 Lauralynn Ct Louisville KY 40299-5973 |
| Practice Telephone | 5028931000 |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2017-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902360548 | Michelle Porter | Nurse Practitioner | 1003 E Florida Ave # 103, Hemet, CA 92543-4510 | 2019-01-28 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1881913747 | Michelle L.w. Porter | Physical Therapist | 519 Heiss Ave, Dayton, OH 45403-3012 | 2010-05-18 |
| 1083800577 | Michelle Annqunet Porter | Counselor | 320 E Centerview Dr, Carson, CA 90746-1134 | 2007-09-19 |
| 1700989266 | Michelle M Porter | Occupational Therapist | 121 S. Christian Ave., Moundridge, KS 67107-0743 | 2006-09-07 |
| 1639709330 | Michelle L Porter | Counselor | 11 Robinson St, Pottstown, PA 19464-6421 | 2020-01-22 |
| 1255824215 | Michelle Louise Porter | Clinical Nurse Specialist | 460 W 10th Ave, Columbus, OH 43210-1240 | 2018-06-13 |
| 1407386378 | Michelle Porter | Licensed Practical Nurse | 211 Biede Ave, Defiance, OH 43512-2408 | 2017-06-14 |
| 1568912475 | Michelle Lynn Porter | Registered Nurse | 2500 S Havana St, Waterpark I, 3rd Floor Aacc, Aurora, CO 80014-1618 | 2016-10-04 |
| 1700238284 | Michelle Porter | Durable Medical Equipment & Medical Supplies | 720 N Jefferson St, Lancaster, TX 75146-1702 | 2016-07-07 |
| Street Address |
4001 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881697449 | Jerry Clanton | Specialist | 4001 Dutchmans Ln, Ste 5c, Louisville, KY 40207-4737 | 2005-05-27 |
| 1508483769 | Amber Nicole Folske | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-07-02 |
| 1386269371 | Sharri Marie Fitzpatrick | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2020-06-15 |
| 1144868498 | Loran Marie Bernert | Doula | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-17 |
| 1760020531 | Meaghan Elisabeth Baumgardner | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-12-12 |
| 1306495874 | Matthew Kirk | Physician Assistant | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-09-08 |
| 1780142984 | Kristal Beach Howard | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2019-03-06 |
| 1891279584 | Jacqueline Blake Russ | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-09-19 |
| 1093294415 | Conley Kathryn Labrake | Occupational Therapist | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-08-07 |
| 1427554658 | Jessica Jane Henderson | Nurse Practitioner | 4001 Dutchmans Ln, Louisville, KY 40207-4714 | 2018-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1184247231 | Jeremiah Noe | Physician Assistant | 3999 Dutchmans Ln Ste 2e, Louisville, KY 40207-4748 | 2020-05-23 |
| 1598388894 | Amanda Marie Hafner | Physician Assistant | 200 E Chestnut St Bldg Suite300, Louisville, KY 40202-1831 | 2020-05-20 |
| 1205487170 | Kenneth D Morrison | Physician Assistant | 9300 Stonestreet Rd Ste 200, Louisville, KY 40272-2894 | 2019-09-23 |
| 1518515444 | William Wilson | Physician Assistant | 1037 E Caldwell St, Louisville, KY 40204-1857 | 2019-09-04 |
| 1760955546 | Benjamin Charles Askins | Physician Assistant | 7906 New La Grange Rd, Louisville, KY 40222-4718 | 2019-01-04 |
| 1770066292 | Molly Roberson Comprehensive Surgical Assistance Pllc | Physician Assistant | 1064 Eastern Pkwy, Louisville, KY 40217-1532 | 2018-09-11 |
| 1598246860 | Kelsi J Barnes | Physician Assistant | 13151 Magisterial Dr # 200, Louisville, KY 40223-4103 | 2018-08-24 |
| 1174009930 | Faun Ellwood-digel | Physician Assistant | 275 W Walnut St, Louisville, CO 80027-2295 | 2018-07-16 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
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| 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.