NICKOLAOS THOMAS PORTARITIS (NPI# 1750649067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750649067 |
| Entity Type | Individual |
| Full Name | NICKOLAOS THOMAS PORTARITIS |
| Credential | R.N. |
| Practice Address |
5001 Hardy St Hattiesburg MS 39402-1308 |
| Mailing Address |
Po Box 17826 Hattiesburg MS 39404-7826 |
| Practice Telephone | 6012688000 |
| Mailing Telephone | 6014478207 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
R873027 | MS | Nursing Service Providers |
| Street Address |
5001 HARDY ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475315 | Gregory Richard Sims | Registered Nurse | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2005-05-24 |
| 1497377170 | Kristi Morgan | Social Worker | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-05-15 |
| 1275154619 | Wesley Health System LLC | Clinical Medical Laboratory | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-04-27 |
| 1477181899 | Shivalika Rhea Singh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1750919163 | Christopher Riley | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-31 |
| 1295363729 | Hora Nemati Rezvani | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1275161788 | Michael Corso | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-30 |
| 1871121582 | Alexander Oh | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-29 |
| 1073141891 | Vashishtha Patel | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| 1316575160 | Madeline Sarah Larossa | Student in an Organized Health Care Education/Training Program | 5001 Hardy St, Hattiesburg, MS 39402-1308 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 163WC0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780022509 | Shannon Davis Sims | Registered Nurse | 415 S 28th Ave, Hattiesburg, MS 39401-7246 | 2013-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506268 | Briana Robinson | Registered Nurse | 6619 Franklin D Roosevelt Dr, Jackson, MS 39213-2906 | 2020-04-06 |
| 1750747135 | Cornell Terri Peck | Registered Nurse | 1955 Popps Ferry Rd, Apt. M-2067, Biloxi, MS 39532-2029 | 2016-01-14 |
| 1831599307 | Sheila Yvonne Moran | Registered Nurse | 117 Windy Lake Cir, Vicksburg, MS 39183-8747 | 2014-09-02 |
| 1427322437 | Paul Leo Kostmayer | Registered Nurse | 1952 Kornman Dr, Biloxi, MS 39532-2002 | 2012-03-08 |
| 1124637319 | Kathryn Martin Lewis | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2020-07-24 |
| 1639794324 | Ryan Abraham | Registered Nurse | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-06-09 |
| 1578183802 | Lauren Clark Beasley | Registered Nurse | 2520 5th St N, Columbus, MS 39705-2008 | 2020-04-16 |
| 1326531229 | John Walker | Registered Nurse | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2018-06-14 |
| 1134644065 | Creshon Spears | Registered Nurse | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2017-08-11 |
| 1942759766 | Lindsey Tatum | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2016-09-22 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on NICKOLAOS THOMAS PORTARITIS.
| 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.