MELINDA JILL PORTER (NPI# 1659550747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659550747 |
| Entity Type | Individual |
| Full Name | MELINDA JILL PORTER |
| Credential | RN, NNP-BC, CNS |
| Practice Address |
2500 Merced Street 3rd Floor, Nicu San Leandro CA 94577-4201 |
| Practice Telephone | 5104543546 |
| Mailing Telephone | 5104543546 |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN536076 | CA | Nursing Service Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
13535 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SN0000X |
Clinical Nurse Specialist Specialization: Neonatal |
1689 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639289283 | Melinda Porter | Social Worker | 151 W 5th St, Russellville, KY 42276-1401 | 2006-08-30 |
| 1629433560 | Melinda Porter | Counselor | 189 S State St, Suite 222, Clearfield, UT 84015-1061 | 2015-12-18 |
| 1235472366 | Melinda Porter | Counselor | 630 E Southlake Blvd, Suite 203, Southlake, TX 76092-6258 | 2013-03-27 |
| 1770788747 | Melinda Ann Porter | Counselor | 3322 Broadway, Everett, WA 98201-4425 | 2007-06-19 |
| Street Address |
2500 MERCED STREET 3RD FLOOR, NICU |
| City | SAN LEANDRO |
| State | CA |
| Zip Code | 94577-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114901667 | Kiran Mayi Nandamuri | Internal Medicine | 2500 Merced Street, San Leandro, CA 94577-4201 | 2005-11-29 |
| 1700299260 | Uma Vinayagasundaram | Pediatrics | 2500 Merced Street, Kaiser Foundation Hospital- San Leandro, San Leandro, CA 94577 | 2014-06-03 |
| 1033539143 | Solomon H. Young | Dietitian, Registered | 2500 Merced Street, San Leandro, CA 94577-4201 | 2014-04-16 |
| 1538407481 | Cindy Lee | Nurse Anesthetist, Certified Registered | 2500 Merced Street, San Leandro, CA 94577-4201 | 2013-01-28 |
| 1780948125 | Giselle Del Rosario Tan | Physical Therapist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2012-06-29 |
| 1760716260 | Kyle Andrew Drullinger | Student in an Organized Health Care Education/Training Program | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-09-30 |
| 1336383652 | Kian Mostafavi | Surgery | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-04-30 |
| 1255572780 | Jessica Mary Zuraw | Emergency Medicine | 2500 Merced Street, San Leandro, CA 94577-4201 | 2009-03-12 |
| 1558526624 | Michelle Ortega Dimaano | Physical Therapist | 2500 Merced Street, San Leandro, CA 94577-4201 | 2008-07-28 |
| 1255595393 | Michael Thomas Madland | Student in an Organized Health Care Education/Training Program | 2500 Merced Street, San Leandro, CA 94577-4201 | 2008-07-17 |
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|---|---|---|---|---|
| 1093358574 | A Caring Heart Home Health Inc. | In Home Supportive Care | 215-237 Estudillo Ave, Suite 202, San Leandro, CA 94577 | 2019-10-28 |
| 1871070052 | New Connections Neuropsychology, PC | Clinical Neuropsychologist | 1057 Macarthur Blvd, Ste 214, San Leandro, CA 94577 | 2018-07-20 |
| 1790287266 | Jennifer Capilla | Behavior Technician | 333 Estudillo Ave #204, San Leandro, CA 94577 | 2018-03-01 |
| 1891296760 | Maryann Kruse Bens | Clinical Neuropsychologist | 1057 Macarthur Blvd Ste 214, San Leandro, CA 94577 | 2018-02-26 |
| 1811406721 | Brendon Hoang Nguyen | Dentist | 145 E 14th St, San Leandro, CA 94577 | 2017-09-22 |
| 1801311774 | Calvin Walker | Counselor | 3801 Teagarden Street, San Leandro, CA 94577 | 2017-08-11 |
| 1184154999 | Shauntrinae Mason | Marriage & Family Therapist | 1000 San Leandro Blvd., Suite 300, San Leandro, CA 94577 | 2017-06-14 |
| 1912453135 | Dr. Marshea Evans | Point of Service | 1068 E14th Street, San Leandro, CA 94577 | 2016-08-28 |
| 1902252935 | Mobility Express Medical Transportation | Non-emergency Medical Transport (VAN) | 1695 Abram Ct Ste 202, San Leandro, CA 94577 | 2016-05-09 |
| 1194170381 | Girls Incorporated of Alameda County | Community/Behavioral Health | 2251 Bancroft Ave, San Leandro, CA 94577 | 2016-04-26 |
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| Taxonomy Code | 364SN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447716311 | Helen Janet Nguyen | Clinical Nurse Specialist | 2500 Merced St, San Leandro, CA 94577-4201 | 2019-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710418140 | Deborah Mae Thorpe | Clinical Nurse Specialist | 1080 Clearview Dr, Hollister, CA 95023-6716 | 2017-03-27 |
| 1528457025 | Patrick Goodwin | Clinical Nurse Specialist | 3020 Childrens Way, Mail Code 5008, San Diego, CA 92123-4223 | 2015-01-21 |
| 1740339225 | Catherine Dolores Goudberg | Clinical Nurse Specialist | 2025 Morse Ave, Sacramento, CA 95825-2115 | 2007-01-10 |
| City | SAN LEANDRO |
| Zip Code | 94577 |
Please comment or provide details below to improve the information on MELINDA JILL PORTER.
| 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.