MRS. MARY ELLEN PORTER (NPI# 1356489272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356489272 |
| Entity Type | Individual |
| Full Name | MRS. MARY ELLEN PORTER |
| Credential | NP |
| Practice Address |
1020 River Oaks Dr Ste 100 Flowood MS 39232-9511 |
| Practice Telephone | 6013268700 |
| Practice Fax Number | 6019324681 |
| Mailing Telephone | 6013268700 |
| Mailing Fax Number | 6019324681 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN098282 | LA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP04559 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 437505741B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477739720 | Mary Grace Porter | Family Medicine | 506 4th St., Grande Ronde Hospital Regional Medical Clinic, La Grande, OR 97850 | 2008-01-17 |
| 1467679407 | Mary Isabelle Porter | Dentist | 4987 Ringwood Meadow, Sarasota, FL 34235-2033 | 2007-04-19 |
| 1700924016 | Mary Vivian Porter | Counselor | 6021 Morriss Road, Suite 110b, Flower Mound, TX 75028-3764 | 2007-02-01 |
| 1174546758 | Mary Margaret Porter | Nurse Practitioner | 9879 Ky Rt 122, Mc Dowell, KY 41647-0247 | 2006-07-25 |
| 1205497351 | Mary Porter | Occupational Therapist | 3505 E Royalton Rd Ste 221, Broadview Heights, OH 44147-2998 | 2019-06-27 |
| 1942799150 | Mary Lauren Porter | Audiologist | 2500 N State St, Jackson, MS 39216-4500 | 2018-05-02 |
| 1124523030 | Mary Sackfield Porter | Speech-Language Pathologist | 21000 Education Ct, Broadlands, VA 20148-5526 | 2018-03-25 |
| 1376996801 | Mary Porter | Counselor | 2300 Wall St, Suite F, Cincinnati, OH 45212 | 2016-07-20 |
| 1942681432 | Mary Madison Porter | Physical Therapist | 5513 Chamblee Dunwoody Rd, Suite 430, Dunwoody, GA 30338-4106 | 2015-06-10 |
| 1285944967 | Mary Katherine Porter | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2010-10-15 |
| Street Address |
1020 RIVER OAKS DR STE 100 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912136490 | Charles Andrew Ouzts | Internal Medicine | 1020 River Oaks Dr Ste 100, Flowood, MS 39232-9511 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357616 | Sara Marie Klaus | Nurse Practitioner | 2550 Flowood Dr Ste 100, Flowood, MS 39232-9304 | 2020-02-12 |
| 1134523830 | Rachael Wilbanks | Nurse Practitioner | 1006 Treetops Blvd Ste 102, Flowood, MS 39232-7645 | 2014-10-09 |
| 1548675168 | Altegra Health Connections, LLC | Nurse Practitioner | 645 Lakeland East Dr, Suite 101, Flowood, MS 39232-9099 | 2014-06-23 |
| 1841505567 | Angela Allen Jackson | Nurse Practitioner | 1010 Lakeland Pl, Flowood, MS 39232-6678 | 2010-08-18 |
| 1881635225 | Lance Klein | Nurse Practitioner | 2470 Flowood Dr, Flowood, MS 39232-9019 | 2006-06-09 |
| 1497372015 | Ashley Sloan | Nurse Practitioner | 1710 Old Fannin Rd, Flowood, MS 39232-9004 | 2020-06-30 |
| 1083188387 | Callie Brown Hall | Nurse Practitioner | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2019-01-20 |
| 1952874851 | Rose Maria Morris | Nurse Practitioner | 4800 Lakeland Dr, Flowood, MS 39232-8694 | 2019-01-03 |
| 1013498435 | Catherine Elizabeth Clingan | Nurse Practitioner | 2610 Courthouse Cir, Flowood, MS 39232-9562 | 2018-08-23 |
| 1982122552 | Sheena Renell Smith Smoot | Nurse Practitioner | 2510 Lakeland Dr, Flowood, MS 39232-9513 | 2017-09-05 |
| Find all providers in FLOWOOD | ||||
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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.