MS. ELLEN RAE PORTER (NPI# 1346378296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346378296 |
| Entity Type | Individual |
| Full Name | MS. ELLEN RAE PORTER |
| Credential | HS |
| Practice Address |
118 Union St Clarksville TN 37040-5115 |
| Mailing Address |
342 Greenleaf Ln Clarksville TN 37040-4367 |
| Practice Telephone | 9316478257 |
| Practice Fax Number | 9316472987 |
| Mailing Telephone | 9312062362 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 372600000X | Adult Companion | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487830816 | Ellen Anne Porter | Acupuncturist | 5007 Holder Ave, Baltimore, MD 21214-3013 | 2008-01-16 |
| 1629586839 | Ellen Porter | Counselor | 3444 Wisconsin Ave, Vicksburg, MS 39180-5331 | 2018-01-22 |
| 1881625705 | Ellen Kathleen Porter | Nurse Practitioner | 8001 Youree Dr, Suite 650, Shreveport, LA 71115-2302 | 2006-07-06 |
| Street Address |
118 UNION ST |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040-5115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508472077 | Ruth Ann Maduka | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2020-09-21 |
| 1922629815 | Hailey Breanne Warren | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2020-05-01 |
| 1831722941 | Marcie Theresa Wolter | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2020-02-17 |
| 1083263883 | Patricia Shepherd | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2019-09-05 |
| 1114589835 | Regina Yvonne Ferrell | Case Manager/Care Coordinator | 118 Union St, Clarksville, TN 37040-5115 | 2019-07-02 |
| 1588156673 | Sarah Gilleran | Technician | 118 Union St, Clarksville, TN 37040-5115 | 2018-06-04 |
| 1992210538 | Breanna Kaitlyn Browder | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2017-12-05 |
| 1407383854 | Amber Marie Dunbar | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2017-05-16 |
| 1821541772 | Deasia Wright | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2016-07-27 |
| 1396199857 | Faith Nelson | Counselor | 118 Union St, Clarksville, TN 37040-5115 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 372600000X |
| Grouping | Nursing Service Related Providers |
| Classification | Adult Companion |
| An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205235835 | Sandra Michelle Batts | Adult Companion | 205 Lovett, Clarksville, TX 75426 | 2014-08-20 |
| 1609005032 | Armor Valley Services, LLC | Adult Companion | 2026 Fort Campbell Blvd, Ste A, Clarksville, TN 37042-3280 | 2009-07-07 |
| 1497883342 | Julian B Johnson II | Adult Companion | 118 Union St, Clarksville, TN 37040-5115 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881440 | One Call Away Honecare LLC | Adult Companion | 5413 Riverstone Dr, Memphis, TN 38125-4334 | 2020-11-08 |
| 1154920361 | Danielle Echols | Adult Companion | 4200 Outland Rd, Memphis, TN 38118-7014 | 2020-10-19 |
| 1659986396 | Angel D Ford | Adult Companion | 3085 Pershing Ave, Memphis, TN 38112-2011 | 2020-09-10 |
| 1306476536 | Lenisha Garrett | Adult Companion | 1137 Greenlea Blvd Apt G14, Gallatin, TN 37066-8371 | 2020-01-15 |
| 1447810189 | Erica Nicole Robertson | Adult Companion | 1807 Johnson St, Dyersburg, TN 38024-3557 | 2019-06-15 |
| 1922565514 | Ttmscares | Adult Companion | 2373 Meadow Ridge Dr, Cordova, TN 38016-8468 | 2019-03-01 |
| 1609348796 | Loving Hands Caregiver | Adult Companion | 2715 13th Ave, Chattanooga, TN 37407-1213 | 2018-12-29 |
| 1407339989 | Haley Bass Johnson | Adult Companion | 783 Old Hickory Blvd # 360, Brentwood, TN 37027-4508 | 2018-09-11 |
| 1427538008 | Laquetta Yvette Hendree | Adult Companion | 2260 Mangum Rd, Memphis, TN 38134-5811 | 2018-08-14 |
| 1538647573 | Maegan Bowers | Adult Companion | 509 Cato Ridge Ct, Nashville, TN 37218-3630 | 2018-08-01 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
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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.