ELIZABETH ANN PORTER (NPI# 1285720318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285720318 |
Entity Type | Individual |
Full Name | ELIZABETH ANN PORTER |
Credential | ARNP |
Practice Address |
5001 Statesman Dr Irving TX 75063-2414 |
Mailing Address |
1000 East 24th Street Kansas City MO 64108 |
Practice Telephone | 8006852272 |
Practice Fax Number | 9729830293 |
Mailing Telephone | 8164045315 |
Enumeration Date | 2006-10-05 |
Last Update Date | 2010-06-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
T-052686 | IA | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
2009009752 | MO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0446278 | 05 | |
IA | WELLMARK | 37358 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053841031 | Elizabeth Nicole Porter | Speech-Language Pathologist | 137 Eden School Rd, Morgantown, KY 42261-8150 | 2017-06-13 |
1922496702 | Elizabeth Porter | Counselor | 8072 21 Mile Rd, Shelby Township, MI 48317-4310 | 2015-01-02 |
1942572706 | Elizabeth Hadley Porter | Physical Therapist | 100 Poloke Pl, Honolulu, HI 96822-5008 | 2012-02-08 |
1083981559 | Elizabeth Cooper Porter | Occupational Therapist | 2427 Russellville Road, Bowling Green, KY 42101-3980 | 2011-11-28 |
1255626206 | Elizabeth Ann Porter | Doula | 2007 33rd Ave, San Francisco, CA 94116-1128 | 2011-06-17 |
1356595334 | Elizabeth Porter | Social Worker | 3817 Plaza Dr, Fairfax, VA 22030-2512 | 2008-11-04 |
1184255317 | Elizabeth Kay Porter | Occupational Therapist | 9730 Prairie Lakes Blvd E, Noblesville, IN 46060-4766 | 2020-01-27 |
1134774540 | Elizabeth Porter | Behavior Technician | 1635 Farm Way, Middleburg, FL 32068-7769 | 2019-08-04 |
1699338400 | Elizabeth Anne Porter | Speech-Language Pathologist | 1720 S Amphlett Blvd Ste 110, San Mateo, CA 94402-2710 | 2019-04-17 |
1497233795 | Elizabeth Trask Porter | Social Worker | 175 North Beacon Street, (lower School Program), Watertown, MA 02472-2790 | 2018-07-30 |
Street Address |
5001 STATESMAN DR |
City | IRVING |
State | TX |
Zip Code | 75063-2414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497796742 | Kimberly Junice Norwood | Nurse Anesthetist, Certified Registered | 5001 Statesman Dr, Irving, TX 75063-2414 | 2006-06-09 |
1356808463 | Nicolas Civale | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2019-02-25 |
1336611391 | Angela Wehrle | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2018-12-31 |
1003343260 | Mary Elizabeth Vandeven | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2017-05-18 |
1760916639 | Stacy Cotteleer | Social Worker | 5001 Statesman Dr, Irving, TX 75063-2414 | 2017-04-17 |
1932650355 | Molly Whitted | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2016-10-20 |
1730544347 | Hallie Bennett | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-12-24 |
1174997969 | Wendy Meagher | Occupational Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-11-17 |
1003292640 | Peter Zatezalo | Physical Therapist | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-08-05 |
1295119527 | Samantha Jade Cheney | Occupational Therapy Assistant | 5001 Statesman Dr, Irving, TX 75063-2414 | 2015-07-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386288868 | Fiesta Lifecare Pharmacy 8 LLC | Pharmacy | 412 E Riley St, Freer, TX 75063 | 2019-10-29 |
1013578491 | Bobbie Snow Masenda | Nurse Practitioner | 6161 N Sh 161 Service Rd, Unit 200, Irving, TX 75063 | 2019-06-26 |
1164989620 | Ellen Green | Occupational Therapist | 7701 Las Colinas Ridge Suite 110, Irving, TX 75063 | 2019-02-20 |
1417412503 | Heda Enterprises, Pllc | Optometrist | 2400 Martket Place Blvd, # 180, Irving, TX 75063 | 2019-02-04 |
1861956542 | Hannah Kennedy | Specialist/Technologist | 8249 Ranchview Dr Apt 3087, Irving, TX 75063 | 2019-01-26 |
1447732805 | Ziprad Inc | Clinic/Center | 7750 N Macarthur Blvd Ste 120-365, Irving, TX 75063 | 2018-09-02 |
1457831646 | Laura Robinson | Specialist/Technologist | 8641 Mill Creek Rd, Irving, TX 75063 | 2018-08-16 |
1457845208 | Padmaja Jagdish Ambre | Nurse Practitioner | 516, Raton Pass, Irving, TX 75063 | 2018-06-15 |
1407394588 | Optum Infusion Services 500, Inc. | Pharmacy | 8400 Esters Blvd Ste 185, Rm 119, Irving, TX 75063 | 2017-02-08 |
1376086561 | Mika Claire Smith | Social Worker | 1175 Kinwest Pky, #100, Irving, TX 75063 | 2016-11-21 |
Find all providers in zip 75063 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528463742 | Anita Thomas | Nurse Practitioner | 1619 Skyview Dr, Irving, TX 75060-4711 | 2014-10-30 |
1588085518 | Rameshwar Thapa | Nurse Practitioner | 3217 Finley Rd Apt 243, Irving, TX 75062-1112 | 2013-12-17 |
1972043669 | Carol Lieser Pmhnp Pllc | Nurse Practitioner | 4425 W Airport Fwy, Ste 244, Irving, TX 75062 | 2017-03-01 |
1922556125 | Healthcore Psychiatry Consultants | Nurse Practitioner | 1440 N Macarthur Blvd, Ste 103, Irving, TX 75061-4496 | 2016-09-15 |
1982047825 | Linda Bett | Nurse Practitioner | 1440 N Macarthur Blvd, 103, Irving, TX 75061-4496 | 2013-04-10 |
1770619280 | Deborah Ann Croissant | Nurse Practitioner | 1110 Cottonwood Ln, Suite 100, Irving, TX 75038-6117 | 2007-02-26 |
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1821698754 | Christienne Felice Solis Callasan | Nurse Practitioner | 1010 Palos Verdes Blvd, Arlington, TX 76017-1780 | 2020-10-29 |
1932709201 | Aftercare, Pllc | Nurse Practitioner | 2000 Crawford St Ste 1221, Houston, TX 77002-9000 | 2020-10-27 |
1497355929 | Hector Medellin IIi | Nurse Practitioner | 6014 County Road 4068, Kemp, TX 75143-2600 | 2020-10-26 |
1639778947 | Aj Psychiatry Pllc | Nurse Practitioner | 1920 N Coit Rd Ste 219, Richardson, TX 75080-2832 | 2020-10-19 |
1154929735 | Valerie Michelle Vaughn-smith | Nurse Practitioner | 3105 Rockbrook Dr, Kilgore, TX 75662-2251 | 2020-10-15 |
1700483468 | Knd Behavioural Health Clinic | Nurse Practitioner | 103 Herrington Dr, Mansfield, TX 76063-7615 | 2020-10-06 |
1184231805 | Tihana Sladic | Nurse Practitioner | 1515 S Capital of Texas Hwy Ste 300&301, Austin, TX 78746-6579 | 2020-09-27 |
1679189369 | Charity Chioma Durant | Nurse Practitioner | 2310 Echo Ct, Rowlett, TX 75088-1534 | 2020-09-18 |
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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.