DEANN PORTER (NPI# 1053926964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053926964 |
| Entity Type | Individual |
| Full Name | DEANN PORTER |
| Practice Address |
8743 Mavis Place St Louis MO 63114 |
| Mailing Address |
12255 Natural Bridge Rd Unit 759 Bridgeton MO 63044-5007 |
| Practice Telephone | 3142706599 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8743 MAVIS PLACE |
| City | ST LOUIS |
| State | MO |
| Zip Code | 63114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| 1700929627 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 8621 Brenner Avenue, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987295 | Lake St. Louis Wigs and Cuts | Prosthetist | 950 Corporate Pkwy Ste 100, Wentzville, MO 63385-4851 | 2020-09-18 |
| 1093320962 | Nia L Taylor | Prosthetist | 411 Sw Ward Rd, Lees Summit, MO 64081-2448 | 2020-09-09 |
| 1417458662 | Whitney Marie Witherspoon | Prosthetist | 3821 Vaile Ave, Florissant, MO 63034-2227 | 2018-02-23 |
| 1053657924 | Jazz Hair Institute | Prosthetist | 3950 Cook Ave, Saint Louis, MO 63113-3402 | 2012-12-21 |
| 1932445095 | Tamera Newberry | Prosthetist | 5248 Darkmoor Ln, Imperial, MO 63052-3036 | 2012-12-18 |
| 1972803773 | Frank T Coppolino Jr. | Prosthetist | 5425 Regency Woods Mnr, Imperial, MO 63052-1971 | 2010-10-26 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1326197559 | Karen Christine Reiff | Prosthetist | 3230 S National Ave, Suite B, Springfield, MO 65807-7303 | 2007-01-09 |
| 1548348451 | Catherine S Sorrel I | Prosthetist | 41 State Road O Apt 1a, Macks Creek, MO 65786-9500 | 2006-11-01 |
| 1134110893 | Roberta J Peregrine | Prosthetist | 2602 Frederick Ave, Ste A, Saint Joseph, MO 64506-2840 | 2005-11-02 |
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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.