DR. TARRELL L PORTMAN (NPI# 1427301209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427301209 |
Entity Type | Individual |
Full Name | DR. TARRELL L PORTMAN |
Credential | PH.D. |
Practice Address |
361 East First Street Riverside IA 52327-9688 |
Practice Telephone | 3196482648 |
Mailing Telephone | 3196482648 |
Enumeration Date | 2012-10-18 |
Last Update Date | 2012-10-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
00729 | IA | Behavioral Health & Social Service Providers |
N | 101YP2500X |
Counselor Specialization: Professional |
001247 | MO | Behavioral Health & Social Service Providers |
Street Address |
361 EAST FIRST STREET |
City | RIVERSIDE |
State | IA |
Zip Code | 52327-9688 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508185554 | Jerry P Gibson | Optometrist | 3140 White Oak Cr, Riverside, IA 52327 | 2010-05-28 |
1073958468 | State University of Iowa | Clinic/Center | 3056 River Crossing Court, Riverside, IA 52327 | 2013-04-30 |
1174845101 | State University of Iowa | Pharmacy | 3056 River Crossing Court, Ste A, Riverside, IA 52327 | 2010-02-18 |
1588826952 | Nealy Christine Neukirch | Physician Assistant | 3056 River Crossing Court, Ui Healthcare River Crossing, Riverside, IA 52327-4724 | 2008-06-27 |
1588650956 | David A Bedell | Family Medicine | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2005-09-21 |
1174840474 | University of Iowa Community Medical Services Inc | Eyewear Supplier (Equipment, not the service) | 3056 River Crossing Court, Suite B, Riverside, IA 52327-4727 | 2010-04-26 |
1992037865 | State University of Iowa | Nurse Practitioner | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2010-02-03 |
1205823556 | Natalie L Lanternier | Family Medicine | 3056 River Crossing Court, Riverside, IA 52327-4727 | 2005-10-03 |
1770191611 | Andrea Dawn Mccartney | Pharmacist | 3056 River Crossing Ct Ste A, Riverside, IA 52327-4733 | 2020-07-16 |
1558989194 | Joy C Tinnes | Pharmacist | 3056 River Crossing Ct, Riverside, IA 52327-4733 | 2020-07-09 |
Find all providers in zip 52327 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
1023638541 | Sarah Davidson-amici | Counselor | 2167 Buckskin Pl, Riverside, CA 92506-4608 | 2020-04-24 |
1790311470 | Melanie S David | Counselor | 11498 Pierce St Ste A&b, Riverside, CA 92505-3357 | 2020-03-13 |
1548890155 | Taylor Jean Robitzer I | Counselor | 16435 Trisha Way, Riverside, CA 92504-5731 | 2020-01-23 |
1043854714 | Marie Apke | Counselor | 493 Uvedale Rd, Riverside, IL 60546-1608 | 2019-11-05 |
1851934954 | Community Access Network | Counselor | 16542 Tava Ln, Riverside, CA 92504-5833 | 2019-10-21 |
1124661236 | Community Access Network | Counselor | 10631 Orchard View Ln, Riverside, CA 92503-6605 | 2019-10-21 |
1518519503 | Erica Elissa Sierra | Counselor | 2085 Rustin Ave Ofc 2157, Riverside, CA 92507-2498 | 2019-07-10 |
1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
1518445725 | Ryan Gregory Galippo | Counselor | 1625 14th Street, Riverside, CA 92513-7549 | 2018-07-31 |
Find all providers in RIVERSIDE |
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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.