MS. MIRIAM ELAINE PORTER (NPI# 1245631902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245631902 |
| Entity Type | Individual |
| Full Name | MS. MIRIAM ELAINE PORTER |
| Credential | AGACNP |
| Practice Address |
3232 N Northhills Blvd Fayetteville AR 72703-4005 |
| Mailing Address |
808 S 52nd St Rogers AR 72758-8602 |
| Practice Telephone | 4795871700 |
| Practice Fax Number | 4795871366 |
| Mailing Telephone | (479) 936-9900 |
| Mailing Fax Number | 4795871366 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
ATP000697 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 808 S 52nd St, Rogers, AR 727588602 | 4799369900 | 4795871366 |
| Street Address |
3232 N NORTHHILLS BLVD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952372120 | J Thaddeus Beck | Internal Medicine | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2006-01-27 |
| 1053936047 | Olivia Harber | Genetic Counselor, MS | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-06-15 |
| 1114427549 | Susan L Ezell | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2018-02-12 |
| 1750811758 | Lauren Ballard | Registered Nurse | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-13 |
| 1619406949 | Bailie N Moore | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2017-06-09 |
| 1093181794 | Stephanie A Newman | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-08-17 |
| 1356726020 | Amber D Nguyen | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-07-23 |
| 1295113272 | Jillian Lorraine Graves | Nurse Practitioner | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-05-11 |
| 1295122315 | Mark William Pickhardt | Urology | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2015-04-16 |
| 1528489994 | Deena Michelle Fitzgerald | Clinical Nurse Specialist | 3232 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2014-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1932749561 | Jennifer Breathitt | Nurse Practitioner | 4542 W Wedge Dr, Fayetteville, AR 72704-7532 | 2020-01-11 |
| 1124666482 | Martha Lynn Brawner | Nurse Practitioner | 2882 N Bermuda Ave, Fayetteville, AR 72704-6034 | 2019-12-18 |
| 1437614013 | Michelle N Holder | Nurse Practitioner | 249 Otter Cir, Fayetteville, GA 30215-5264 | 2019-02-07 |
| 1730684960 | Kasondra Mcdonald | Nurse Practitioner | 117 Chadwick Farms Dr, Fayetteville, TN 37334-6081 | 2018-03-29 |
| 1265985931 | Stephanie R Rives | Nurse Practitioner | 18 Ivy Dr, Fayetteville, TN 37334-7287 | 2016-07-29 |
| 1538413646 | Joseph Patrick Madelone | Nurse Practitioner | 202 Cleveland Blvd, Fayetteville, NY 13066-1104 | 2012-10-29 |
| 1063048817 | Kenita Davis | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2020-03-12 |
| 1780218206 | Tara Howerton | Nurse Practitioner | 3276 N Northhills Blvd, Fayetteville, AR 72703-4005 | 2020-02-24 |
| 1861025173 | Laura Droke | Nurse Practitioner | 3211 N Northhills Blvd, Fayetteville, AR 72703-4007 | 2020-02-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MS. MIRIAM ELAINE PORTER.
| 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.