MELLISA GEORGETTE PORTER (NPI# 1235615923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235615923 |
| Entity Type | Individual |
| Full Name | MELLISA GEORGETTE PORTER |
| Practice Address |
1180 E 55th St Brooklyn NY 11234-2418 |
| Practice Telephone | 9177015277 |
| Mailing Telephone | 9177015277 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
341954 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1180 E 55TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029009 | Sharon Wu | Nurse Practitioner | 2426 W 3rd St, Brooklyn, NY 11223-5930 | 2020-07-05 |
| 1619590486 | Jan Jeremiah | Nurse Practitioner | 3839 Flatlands Ave Ste 100, Brooklyn, NY 11234-3535 | 2020-05-27 |
| 1801425210 | Rehana Luana Lowtan | Nurse Practitioner | 3101 Avenue I Apt 6c, Brooklyn, NY 11210-3855 | 2020-04-07 |
| 1942839485 | Avril Staceyanne Robinson | Nurse Practitioner | 924 E 101st St, Brooklyn, NY 11236-2618 | 2020-04-06 |
| 1275175994 | Idy Liang | Nurse Practitioner | 773 54th St, Brooklyn, NY 11220-3202 | 2019-10-15 |
| 1316595564 | Danielle Sharaby-glasser | Nurse Practitioner | Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 | 2019-08-30 |
| 1245793900 | Jennifer Peace Polatchek | Nurse Practitioner | 40 Ocean Pkwy Apt 1d, Brooklyn, NY 11218-1538 | 2019-04-10 |
| 1518459825 | Mengmin Liu | Nurse Practitioner | 566 60th St, Brooklyn, NY 11220 | 2018-06-01 |
| 1467963157 | Janiece Ann Francis | Nurse Practitioner | 881 E 54th St, Brooklyn, NY 11234-1210 | 2017-10-20 |
| 1962930578 | Nicole Ann-marie Mundle | Nurse Practitioner | 1076 E 56th St, Brooklyn, NY 11234-2404 | 2017-05-25 |
| Find all providers in BROOKLYN | ||||
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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.