LAURA GUSTAFSON PORTER (NPI# 1720087901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720087901 |
| Entity Type | Individual |
| Full Name | LAURA GUSTAFSON PORTER |
| Credential | PHD |
| Practice Address |
7714 Conner Rd Ste 105 Powell TN 37849-3559 |
| Mailing Address |
6350 W Andrew Johnson Hwy Dept 100 Talbott TN 37877-8605 |
| Practice Telephone | 8659476220 |
| Practice Fax Number | 8655121069 |
| Mailing Telephone | 8003553565 |
| Mailing Fax Number | 4237142355 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2017-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
P2546 | TN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2546(PROVISIONAL | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3981441 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6350 W Andrew Johnson Hwy, Talbott, TN 378778605 | 4235877337 | 4235880614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790297042 | Laura Porter | Counselor | 840 S Colony Way Ste 201, Palmer, AK 99645-6982 | 2017-10-26 |
| 1508250069 | Laura Porter | Physical Therapist | 1944 Canyon Rd, Vestavia Hills, AL 35216-1761 | 2015-03-23 |
| 1992103246 | Laura Porter | Counselor | 8835 Lackman Rd Ste 103, Lenexa, KS 66219-1901 | 2014-12-17 |
| 1144384512 | Laura W. Porter | Marriage & Family Therapist | 415 Humboldt St # B, Santa Rosa, CA 95404-4214 | 2006-12-20 |
| 1881696417 | Laura L Porter | Nurse Practitioner | 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 | 2005-08-12 |
| 1083236350 | Laura Ashton Porter | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2020-05-10 |
| 1972061273 | Laura Jennifer Porter | Nurse Practitioner | 4580 California Ave, Bakersfield, CA 93309-1104 | 2019-03-05 |
| 1649758889 | Laura Porter | Counselor | 114 N Mitchell St, Cadillac, MI 49601-1833 | 2018-07-31 |
| 1063855971 | Laura Leigh Porter | Nurse Practitioner | 2800 Blue Ridge Rd Ste 201, Raleigh, NC 27607-6477 | 2013-04-10 |
| 1174869218 | Laura Grace Porter | Counselor | 6918 Ridge Rd, Rosedale, MD 21237-3854 | 2012-12-18 |
| Street Address |
7714 CONNER RD STE 105 |
| City | POWELL |
| State | TN |
| Zip Code | 37849-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835578 | Autumn Danielle Hunter | Registered Nurse | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2019-08-08 |
| 1063064897 | Pamela Hahn Rosecrance | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2019-07-11 |
| 1427600303 | Elliot Straub Spengler | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2019-07-11 |
| 1396308656 | Olivia Fleenor | Registered Nurse | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2019-04-22 |
| 1508344904 | Adam Blake Cowan-banker | Case Manager/Care Coordinator | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2018-07-30 |
| 1972019024 | Ryaja Johnson | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2017-12-26 |
| 1497277891 | Alicia Danielle Mcginnis | Registered Nurse | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2017-07-07 |
| 1730618075 | Autumn Rae Hyacinth Florimbio | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2017-06-09 |
| 1740719046 | Erica Jaquise Peppers | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd Ste 105, Powell, TN 37849 | 2017-06-08 |
| 1922537695 | Rebecca Meredith Mahan | Student in an Organized Health Care Education/Training Program | 7714 Conner Rd Ste 105, Powell, TN 37849 | 2017-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104380930 | Fannon Drug Co. | Pharmacy | 606 E. Emory Rd, Powell, TN 37849 | 2019-01-25 |
| 1417472507 | New Haven, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8001 Conner Road Ste102, Powell, TN 37849 | 2017-08-09 |
| 1790207785 | Sarah Beuerlein Guerrette | Registered Nurse | 7730 Dannaher Drive, Powell, TN 37849 | 2017-07-11 |
| 1255860383 | Eye Surgery Center of Knoxville, LLC | Clinic/Center | 7739 Dannaher Drive, Powell, TN 37849 | 2017-06-12 |
| 1306375720 | Elizabeth Kathy Haun | Nurse Practitioner | 325 Strader Rd, Powell, TN 37849 | 2017-06-08 |
| 1063642593 | Emily H Griffith | Pharmacist | 430 Emory Road, Powell, TN 37849 | 2009-07-17 |
| 1497909428 | Carolyn E Pendergast | Occupational Therapist | 7557 Dannaher Lane, Suite G30, Powell, TN 37849 | 2008-11-04 |
| 1982883468 | Marcella June Greene | Surgery | 7557a Dannaher Dr, Suite 110, Powell, TN 37849 | 2007-10-31 |
| 1629260542 | Frances L Do | Physician Assistant | 7557 Dannaher Dr., Tennessee Urology Associates, Powell, TN 37849 | 2007-08-14 |
| 1780715870 | Diane Elizabeth Crabb | Registered Nurse | 7714 Conner Road, Ste 105, Powell, TN 37849 | 2007-03-08 |
| Find all providers in zip 37849 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659776011 | Mel Michael Zwissler | Psychologist | 8706 Glencanyon Dr, Powell, OH 43065-9269 | 2014-10-28 |
| 1205241239 | Joseph Albert Grochowski | Psychologist | 3835 Wedgewood Place Dr, Powell, OH 43065-7560 | 2014-06-28 |
| 1447389465 | Advanced Injury Management | Psychologist | 9586 Ireland Ct, Powell, OH 43065-7719 | 2007-03-05 |
| 1114954674 | Diane Tryon Latimer | Psychologist | 3843 Attucks Dr., Suite B, Powell, OH 43065 | 2006-06-28 |
| 1710923792 | Nathan Tomcik | Psychologist | 515 Village Park Dr, Powell, OH 43065-6607 | 2006-06-20 |
| 1891936852 | Diane Latimer, Psy.d., P.C. | Psychologist | 3843 Attucks Dr., Suite B, Powell, OH 43065 | 2009-03-20 |
| 1366658601 | Big Horn Basin Mental Health Group | Psychologist | 1054 Vali Rd, Powell, WY 82435-9259 | 2007-05-15 |
| 1639178684 | William Allan Richards Jr. | Psychologist | 7714 Conner Rd, Powell, TN 37849-3559 | 2005-07-20 |
| 1306845532 | Jean Marie Schaid | Psychologist | 7714 Conner Rd Ste 105, Powell, TN 37849-3559 | 2005-07-19 |
| 1720087216 | Adair Allen | Psychologist | 7714 Conner Rd, Powell, TN 37849-3559 | 2005-07-18 |
| Find all providers in POWELL | ||||
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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.