MISS ERICA PORTER (NPI# 1649703349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649703349 |
| Entity Type | Individual |
| Full Name | MISS ERICA PORTER |
| Practice Address |
4760 E 68th St #267 Tulsa OK 74136 |
| Mailing Address |
4760 E 68th St Apt267 Tulsa OK 74136-4942 |
| Practice Telephone | 9185652710 |
| Mailing Telephone | 9185652710 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | D999730843 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | SOONERCARE | 006102757 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114575750 | Erica Jane Porter | Social Worker | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2019-08-27 |
| 1780133967 | Erica Porter | Behavior Technician | 42804 Garfield Rd, Clinton Township, MI 48038-1656 | 2016-09-28 |
| 1164730321 | Erica Renee Porter | Counselor | 65 Old Springfield Rd, Lebanon, KY 40033-9185 | 2010-09-21 |
| 1013166537 | Erica Porter | Social Worker | 421 12th St, Columbus, GA 31901-2522 | 2008-09-09 |
| Street Address |
4760 E 68TH ST #267 |
| City | TULSA |
| State | OK |
| Zip Code | 74136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912520883 | Esmeralda Rosales | Behavior Technician | 7306 S. Yale Ave, Tulsa, OK 74136 | 2020-05-26 |
| 1851939631 | Kenneth Aaron Pohl | Behavior Technician | 7107 S. Braden Ave. Suite 195, Tulsa, OK 74136 | 2019-12-12 |
| 1578109195 | Brett Ray Weaver | Chiropractor | Kelly Bldg Ste 106, 6565 S Yale Ave, Tulsa, OK 74136 | 2019-11-19 |
| 1477194488 | Adhd and Mood Center of Oklahoma | Clinic/Center | 6565 South Yale Ave, Suite 706, Tulsa, OK 74136 | 2019-10-01 |
| 1093272510 | Whitney Christine Pilkenton | Registered Nurse | 6161 S. Yale Ave., Tulsa, OK 74136 | 2019-02-21 |
| 1538639190 | Osu Center for Health Sciences | Clinic/Center | 6465 S. Yale Ave. Suite 514, Tulsa, OK 74136 | 2018-11-27 |
| 1043786304 | Saint Francis Hospital, Inc. | Hospice Care, Community Based | 6600 South Yale Ave Suite 350, Tulsa, OK 74136 | 2018-10-15 |
| 1891282877 | Premier Rheumatology of Oklahoma | Internal Medicine | 6114 E. 61st Street, Tulsa, OK 74136 | 2018-04-16 |
| 1679092175 | Grace Eloise Evans | Counselor | 6655 S. Yale Ave, Tulsa, OK 74136 | 2017-09-15 |
| 1598283756 | David Oladipo Abioye | Counselor | 7110 S Utica Avenue, Suite 613, Tulsa, OK 74136 | 2017-09-07 |
| Find all providers in zip 74136 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689107070 | Sprouts Child Development Initiative, Inc. | Prevention Professional | 5840 S Memorial Dr Ste 111, Tulsa, OK 74145-9006 | 2017-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1801358791 | Arkansas Clinical Management, LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Corporate Office, Oklahoma City, OK 73116-1548 | 2019-04-01 |
| 1336610708 | Nancy Lanette Cavner | Prevention Professional | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2018-12-11 |
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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.