PORTIA JOY KORVER (NPI# 1760746556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760746556 |
Entity Type | Individual |
Full Name | PORTIA JOY KORVER |
Credential | FNP |
Practice Address |
575 Hospital Ln Susanville CA 96130-4808 |
Practice Telephone | 5302574186 |
Mailing Telephone | 5302574186 |
Enumeration Date | 2012-06-27 |
Last Update Date | 2012-06-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP21959 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
575 HOSPITAL LN |
City | SUSANVILLE |
State | CA |
Zip Code | 96130-4808 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326159633 | Kenneth G Korver | Family Medicine | 575 Hospital Ln, Susanville, CA 96130-4808 | 2006-08-31 |
1538689138 | Kenneth G Korver, Md Medical Corporation | Clinic/Center | 575 Hospital Ln, Susanville, CA 96130-4808 | 2017-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
1871980847 | Katie Gaffney | Acupuncturist | 1850 Spring Ridge Dr., Susanville, CA 96130 | 2015-04-17 |
1952678435 | Linda Vixie | Dentist | 3020 Johnstonville Rd., Susanville, CA 96130 | 2011-11-28 |
1942503057 | Pamela Sue Vallalvazo | Counselor | 1445 Paul Bunyon Rd., Susanville, CA 96130 | 2010-12-10 |
1255631883 | Jessica Smyth | Counselor | 1400 Chestnut Street # A, Susanville, CA 96130 | 2010-10-29 |
1295045276 | Danielle Hardy | Counselor | 1400 Chestnut Street Suite A, Susanville, CA 96130 | 2010-10-08 |
1982921417 | Ronald Spencer Tucker Jr. | Counselor | 4119 Johnstonville Road, #270503, Susanville, CA 96130 | 2010-04-23 |
1609107945 | Timothy J Nolan | Psychologist | 803 1/2 Main St., Suite 104, Susanville, CA 96130 | 2010-01-27 |
1528243649 | Daniel Martin Bruce | Case Manager/Care Coordinator | 720-a Richmond Road, Susanville, CA 96130 | 2008-01-08 |
1679757785 | Michael Charles Giddings | Dentist | 475 Rice Canyon Rd, Susanville, CA 96130 | 2007-12-26 |
Find all providers in zip 96130 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932753456 | Shaughn Randall Whittaker | Nurse Practitioner | 1860 Paul Bunyan Rd, Susanville, CA 96130 | 2019-08-01 |
1669694683 | Bradley Earl Reger | Nurse Practitioner | 700 Ash St, Susanville, CA 96130-3716 | 2007-05-02 |
1114384229 | Melissa Leilani Garnett | Nurse Practitioner | 795 Joaquin St, Susanville, CA 96130 | 2016-01-20 |
1508240938 | Melissa Ann Clark | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2015-07-15 |
1962652131 | Jane Marie Henneman Low | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2008-09-24 |
1821260530 | Barbara Johnson Mauck | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2008-04-02 |
1346418845 | John A. Anderson | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2008-02-19 |
1902093362 | Terri Lee Snyder | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2007-10-01 |
1952311045 | Noreen A Frieling | Nurse Practitioner | 1850 Spring Ridge Dr, Susanville, CA 96130-6100 | 2006-08-09 |
1538179643 | Constance A Herman | Nurse Practitioner | 705 West St, Susanville, CA 96130-4834 | 2006-08-09 |
Find all providers in SUSANVILLE |
City | SUSANVILLE |
Zip Code | 96130 |
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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.