HAILEY M PORTER (NPI# 1194348615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194348615 |
| Entity Type | Individual |
| Full Name | HAILEY M PORTER |
| Practice Address |
105 Stone Ridge Meadows Dr O Fallon MO 63366-1563 |
| Practice Telephone | 3145506700 |
| Mailing Telephone | 3145506700 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
105 STONE RIDGE MEADOWS DR |
| City | O FALLON |
| State | MO |
| Zip Code | 63366-1563 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407314826 | Transformative Health 180 LLC | Physical Therapist | 821 West Terra Lane, O Fallon, MO 63366 | 2019-03-05 |
| 1740754126 | Donna Marie Person | Nurse Practitioner | 331 Magnolia Valley Dr., Ofallon, MO 63366 | 2019-01-18 |
| 1679069470 | Samantha Schulte | Clinical Pharmacology | 7 Poor Richard Ct, O Fallon, MO 63366 | 2018-07-03 |
| 1790218048 | Jill Buery | Marriage & Family Therapist | 801 S Woodlawn Ave, Ste 15, O'fallon, MO 63366 | 2017-04-04 |
| 1114466968 | Jessica Anne Morris | Counselor | 103 Lincoln Street, O'fallon, MO 63366 | 2017-02-13 |
| 1639528540 | Kyle James Neuschaefer | Dentist | 31 Ofallon Sq, O Fallon, MO 63366 | 2016-06-10 |
| 1295116143 | Katherine Seiler Harkess | Obstetrics & Gynecology | 300 Winding Woods Drive Suite 200, O'fallon, MO 63366 | 2015-06-16 |
| 1528453354 | Amanda Flamm | Nurse Practitioner | 1101 Hightway K, Ofallon, MO 63366 | 2015-03-30 |
| 1144639972 | Sara Birkemeier | Physical Therapist | 1541 Norwood Hills Dr, Ofallon, MO 63366 | 2014-08-06 |
| 1710390893 | Catherine Rose Most | Speech-Language Pathologist | 555 E. Terra Lane, Fort Zumwalt School District, O'fallon, MO 63366 | 2014-06-06 |
| Find all providers in zip 63366 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777816 | Brittany Hodgman | Student in an Organized Health Care Education/Training Program | 1329 Governors Run Ct, O Fallon, MO 63366-5577 | 2020-10-11 |
| 1538782321 | Allyssa Nicole Koerber | Student in an Organized Health Care Education/Training Program | 200 Ellen Ln, O Fallon, IL 62269-1719 | 2020-05-27 |
| 1497381040 | Peter Paul Keares | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 400, O Fallon, IL 62269-1281 | 2020-03-16 |
| 1598313942 | Lauren Lindsey Godwin | Student in an Organized Health Care Education/Training Program | 500 Glen Oak Dr, O Fallon, IL 62269-4229 | 2019-08-29 |
| 1447650197 | Erin Mittler | Student in an Organized Health Care Education/Training Program | 354 Westridge Dr, O Fallon, MO 63366-7409 | 2014-08-31 |
| 1538390190 | Jamie Sparks | Student in an Organized Health Care Education/Training Program | 1000 Illini Dr, O Fallon, IL 62269-3571 | 2009-07-30 |
| 1720607880 | Kyler Michael Douglas | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-04-09 |
| 1043847734 | Emma Clardy | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-03-24 |
| 1548897499 | Andrea Grace Brown | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-03-23 |
| 1679100580 | Tyler Johnson | Student in an Organized Health Care Education/Training Program | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1284 | 2020-03-23 |
| Find all providers in O FALLON | ||||
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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.