NICOLE L PORTER (NPI# 1437552064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437552064 |
| Entity Type | Individual |
| Full Name | NICOLE L PORTER |
| Credential | PA-C |
| Practice Address |
6 Greenwich Office Park Greenwich CT 06831-5151 |
| Mailing Address |
6 Greenwich Office Park Greenwich CT 06831 |
| Practice Telephone | 2038691145 |
| Mailing Telephone | 2038691145 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2018-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3124 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928925 | Nicole Porter | Specialist/Technologist | 390 Se 10th St, Madras, OR 97741-1573 | 2019-12-05 |
| 1053957092 | Nicole Porter | Social Worker | 600 W Campbell Rd Ste 1, Richardson, TX 75080-3357 | 2019-11-25 |
| 1467922179 | Nicole Diana Porter | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2018-11-26 |
| 1891260162 | Nicole Porter | Psychologist | 201 Colorado Ave, Frankfort, IL 60423-1333 | 2018-10-12 |
| 1164997771 | Nicole Porter | Counselor | 232 2nd Ave S Ste 201, Kent, WA 98032-5862 | 2018-10-10 |
| 1003394347 | Nicole Porter | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-07-30 |
| 1275064081 | Nicole Porter | Occupational Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2017-03-23 |
| 1912244823 | Nicole Porter | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2013-01-11 |
| Street Address |
6 GREENWICH OFFICE PARK |
| City | GREENWICH |
| State | CT |
| Zip Code | 06831-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200031 | Francis Ennis | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2006-01-18 |
| 1528668498 | Nicole Lynn Quaedvlieg | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-10-29 |
| 1639778988 | Alexandra Rose Touri | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-10-19 |
| 1760094437 | Avigail Itzkowitz | Nurse Practitioner | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-08-23 |
| 1699306993 | Onalee Lucille Collins | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2020-01-27 |
| 1790322014 | Colleen Bisaccio | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-12-05 |
| 1568006690 | Thomas Gisin | Specialist/Technologist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-11-01 |
| 1003459579 | Sabrina Douglass | Physical Therapist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-10-28 |
| 1679122725 | Elissa Nicole Solomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-09-10 |
| 1578021416 | Christina Lynn Cauliffe | Specialist/Technologist | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401775 | Aba Telehealth Project, LLC | Behavioral Analyst | 29 Valley Drive, #5004, Greenwich, CT 06831 | 2020-06-15 |
| 1972069466 | Maryse C Vincent | Licensed Practical Nurse | 36 Greenwich Hills Drive, Greenwich, CT 06831 | 2019-02-20 |
| 1720409766 | Livia Stephania Kijac | Psychiatry & Neurology | 10 Dwight Lane, Greenwich, CT 06831 | 2013-12-18 |
| 1114355286 | Sueli Pini Dejesus | Pharmacist | 7 Moshier St, Greenwich, CT 06831 | 2013-10-28 |
| 1386970960 | Dandan Tu | Physical Medicine & Rehabilitation | 1165 King Street, Greenwich Woods Rehabilitation & Health Care Cente, Greenwich, CT 06831 | 2009-11-02 |
| 1659606390 | Christine Speck | Social Worker | 21 Nicholas Ave, Greenwich, CT 06831 | 2009-10-14 |
| 1992991343 | Josephine A Capocci | Registered Nurse | 5 Willow Run Rd, Greenwich, CT 06831 | 2007-09-19 |
| 1841418571 | Alisa Krystyn Miller | Podiatrist | 2 Half Dearfield Dr., Greenwich, CT 06831 | 2007-04-20 |
| 1801919170 | Elsa M. Raskin Physician PC | Plastic Surgery | 2 1 2 Dearfield Drive, Suite 102, Greenwich, CT 06831 | 2007-04-09 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| Find all providers in zip 06831 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831642354 | Katherine Marion French | Physician Assistant | 50 Old Field Point Rd, Third Floor, Greenwich, CT 06830-6157 | 2016-08-02 |
| 1023150687 | Lisa Violi | Physician Assistant | 2 and One Half Dearfield Drive, Greenwich, CT 06831 | 2007-02-12 |
| 1679122725 | Elissa Nicole Solomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2019-09-10 |
| 1841752300 | Miriam Sussman | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830-4697 | 2019-04-03 |
| 1003399213 | Krista Ann Ulrich | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2018-09-13 |
| 1134645211 | Carlye Marissa Bianco | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2017-08-20 |
| 1427306059 | Kathryn Marie Yunkovic | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830 | 2012-08-29 |
| 1275784068 | Jason James Salomon | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2008-10-10 |
| 1841492089 | Donna L Silverstein | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2007-06-01 |
| 1770609067 | Daniel Cooney | Physician Assistant | 5 Perryridge Rd, Greenwich, CT 06830-4608 | 2007-03-21 |
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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.