MRS. LAURA L PORTER


Address: 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632
Phone: 4234932906

MRS. LAURA L PORTER (NPI# 1881696417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881696417
Entity Type Individual
Full Name MRS. LAURA L PORTER
Other Name MS. LAURA LYNN SUTTON
Credential FNP-BC
Practice Address 615 Derby St
Attention: Hcs Hi&r
Chattanooga
TN 37404-1632
Practice Telephone 4234932906
Practice Fax Number 4234932950
Mailing Telephone 4234932906
Mailing Fax Number 4234932950
Enumeration Date 2005-08-12
Last Update Date 2013-02-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 70783 TN Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
APN0000006060 TN Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN RR MEDICARE P33828 01
TN 3902601 05
TN BLUE CROSS BLUE SHIELD 4020701 01

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1144384512 Laura W. Porter Marriage & Family Therapist 415 Humboldt St # B, Santa Rosa, CA 95404-4214 2006-12-20
1720087901 Laura Gustafson Porter Psychologist 7714 Conner Rd Ste 105, Powell, TN 37849-3559 2005-07-19
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1972061273 Laura Jennifer Porter Nurse Practitioner 4580 California Ave, Bakersfield, CA 93309-1104 2019-03-05
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Office Location

Street Address 615 DERBY ST
ATTENTION: HCS HI&R
City CHATTANOOGA
State TN
Zip Code 37404-1632

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710480876 Nellie Patricia Gannon Dentist 615 Derby St, Chattanooga, TN 37404-1632 2018-03-15
1326434663 Amy Jo Schamens Behavioral Analyst 615 Derby St, Chattanooga, TN 37404-1632 2015-04-14
1164838058 Ann Graham Parker Psychologist 615 Derby St, Chattanooga, TN 37404-1632 2014-07-11
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1114294600 Orange Grove Center, Inc. Day Training, Developmentally Disabled Services 615 Derby St, Chattanooga, TN 37404-1632 2011-11-28
1225315161 Orange Grove Center, Inc 7445 Pinewood Dr Intermediate Care Facility, Mentally Retarded 615 Derby St, Chattanooga, TN 37404-1632 2011-11-07
1952688897 Orange Grove Center, Inc 7447 Pinewood Dr Intermediate Care Facility, Mentally Retarded 615 Derby St, Chattanooga, TN 37404-1632 2011-11-07
1841575180 Donna Eileen Leath Occupational Therapy Assistant 615 Derby St, Chattanooga, TN 37404-1632 2011-10-19
1225325483 Latosha K Walker Nurse Practitioner 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 2011-07-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306494216 Cynthia Caffey Technician 1305 E. 28th St. Apt A, Chatta, TN 37404 2019-09-04
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1124544762 Rachael Anne Maciver Nurse Practitioner 1909 South Willow Street, Chattanooga, TN 37404 2017-08-15
1447796214 Esli Castillo Nurse Practitioner 281 N.lyerly St., Suite 200, Chattanooga, TN 37404 2017-01-17
1922542158 Natasha Elliott Community Health Worker 2804 Cannon Ave, Chattanooga, TN 37404 2016-12-07
1730630153 Jonathan Easter Taxi 1611 Anderson Avenue, Apt A, Chattanooga, TN 37404 2016-10-20
1477946143 Thomas Jereme Holcomb Nurse Practitioner 281 N. Lyerly St, Suite 200, Chattanooga, TN 37404 2015-03-05
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1285189563 Community Integrated Healthcare Nurse Practitioner 5618 Brainerd Rd, Chattanooga, TN 37411-5310 2016-08-17
1720449697 Marysol Montalvo Thomas Nurse Practitioner 2358 Lifestyle Way Ste 100, Chattanooga, TN 37421-4907 2016-03-18
1780095273 Emily Ivens Prater Nurse Practitioner 455 N Highland Park Ave, Chattanooga, TN 37404-2016 2014-05-19
1285066480 Dana Lynn Ross Nurse Practitioner 1521 Gunbarrel Rd, Suite 103, Chattanooga, TN 37421-3124 2013-07-30
1225325483 Latosha K Walker Nurse Practitioner 615 Derby St, Attention: Hcs Hi&r, Chattanooga, TN 37404-1632 2011-07-07

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Competitor

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City CHATTANOOGA
Zip Code 37404

Improve Information

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Dataset Information

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.

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