AKISHA WILSON-PORTER (NPI# 1861860611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861860611 |
| Entity Type | Individual |
| Full Name | AKISHA WILSON-PORTER |
| Practice Address |
160 4th St Brentwood NY 11717-4658 |
| Practice Telephone | 6312737105 |
| Practice Fax Number | 6312737253 |
| Mailing Telephone | 6312737105 |
| Mailing Fax Number | 6312737253 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
339950 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
160 4TH ST |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538201231 | Vincent Richard Leddy | Internal Medicine | 160 4th St, Brentwood, NY 11717-4610 | 2007-02-12 |
| 1134667090 | Claudia Salazar | Physician Assistant | 160 4th St, Brentwood, NY 11717-4658 | 2017-02-10 |
| 1366610453 | Vincent Leddy Md PC | Internal Medicine | 160 4th St, Brentwood, NY 11717-4610 | 2008-02-12 |
| 1578605275 | Richard John Valinotti | Internal Medicine | 160 4th St, Brentwood, NY 11717-4610 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845544 | Rebecca E Carden | Nurse Practitioner | 1205 Haber Dr, Brentwood, TN 37027-7142 | 2020-09-14 |
| 1538789169 | Mallory Simon | Nurse Practitioner | 5005 Maryland Way, Brentwood, TN 37027-7545 | 2020-04-23 |
| 1720619885 | Pente Ng | Nurse Practitioner | 1200 Central Blvd Ste D, Brentwood, CA 94513-2227 | 2020-01-28 |
| 1164074092 | Jennifer Marie Justus | Nurse Practitioner | 317 Seven Springs Way Ste 205, Brentwood, TN 37027-4991 | 2019-07-11 |
| 1295396125 | Nicollette Mitra | Nurse Practitioner | 2400 Balfour Rd Ste 302, Brentwood, CA 94513-4955 | 2019-06-21 |
| 1528535283 | Blake Erran Longstreth | Nurse Practitioner | 5400 Maryland Way Ste 100, Brentwood, TN 37027-1005 | 2018-10-30 |
| 1114471901 | Megan Elaine Faucher | Nurse Practitioner | 255 Wilson Circle Pike, Brentwood, TN 37027-5207 | 2016-08-09 |
| 1265807093 | Anne Adams | Nurse Practitioner | 9405 Atherton Ct, Brentwood, TN 37027-8700 | 2015-12-04 |
| 1144636275 | Jordan Marie Ellis | Nurse Practitioner | 1642 Westgate Cir Ste 202, Brentwood, TN 37027-8195 | 2014-07-09 |
| 1508107376 | Pedforall | Nurse Practitioner | 5050 Thoroughbred Ln Ste C, Brentwood, TN 37027-4234 | 2013-03-04 |
| Find all providers in BRENTWOOD | ||||
Please comment or provide details below to improve the information on AKISHA WILSON-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.