DR. ELIZABETH MARIE PORTER (NPI# 1104859693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104859693 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH MARIE PORTER |
| Credential | PHARM.D. |
| Practice Address |
100 Indian Hills Dr Macy NE 68039 |
| Mailing Address |
817 Pine St South Sioux City NE 68776-3416 |
| Practice Telephone | 4028374358 |
| Practice Fax Number | 4028375381 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12435 | NE | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053841031 | Elizabeth Nicole Porter | Speech-Language Pathologist | 137 Eden School Rd, Morgantown, KY 42261-8150 | 2017-06-13 |
| 1922496702 | Elizabeth Porter | Counselor | 8072 21 Mile Rd, Shelby Township, MI 48317-4310 | 2015-01-02 |
| 1942572706 | Elizabeth Hadley Porter | Physical Therapist | 100 Poloke Pl, Honolulu, HI 96822-5008 | 2012-02-08 |
| 1083981559 | Elizabeth Cooper Porter | Occupational Therapist | 2427 Russellville Road, Bowling Green, KY 42101-3980 | 2011-11-28 |
| 1255626206 | Elizabeth Ann Porter | Doula | 2007 33rd Ave, San Francisco, CA 94116-1128 | 2011-06-17 |
| 1356595334 | Elizabeth Porter | Social Worker | 3817 Plaza Dr, Fairfax, VA 22030-2512 | 2008-11-04 |
| 1184255317 | Elizabeth Kay Porter | Occupational Therapist | 9730 Prairie Lakes Blvd E, Noblesville, IN 46060-4766 | 2020-01-27 |
| 1134774540 | Elizabeth Porter | Behavior Technician | 1635 Farm Way, Middleburg, FL 32068-7769 | 2019-08-04 |
| 1699338400 | Elizabeth Anne Porter | Speech-Language Pathologist | 1720 S Amphlett Blvd Ste 110, San Mateo, CA 94402-2710 | 2019-04-17 |
| 1497233795 | Elizabeth Trask Porter | Social Worker | 175 North Beacon Street, (lower School Program), Watertown, MA 02472-2790 | 2018-07-30 |
| Street Address |
100 INDIAN HILLS DR |
| City | MACY |
| State | NE |
| Zip Code | 68039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881632586 | Shahla F Tarar | Family Medicine | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2006-06-03 |
| 1164078333 | Trisha Marie Harms | Nurse Practitioner | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2019-08-14 |
| 1033651179 | Jacquelyn S Berke | Counselor | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2016-11-07 |
| 1871977918 | Omaha Tribe of Nebraska | Clinic/Center | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2015-07-18 |
| 1417361718 | Tyler Lutz | Physical Therapist | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2014-06-13 |
| 1124458286 | Holli Surber | Nurse Practitioner | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2013-11-26 |
| 1700140472 | Robert Dean Williams | Social Worker | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2012-06-27 |
| 1649581653 | Joseph Flaherty Churchill | Dentist | 100 Indian Hills Dr, Carl T. Curtis Health Education Center Dental Clinic, Macy, NE 68039-3023 | 2010-06-24 |
| 1558680207 | Ronald James Freemont Jr. | Emergency Medical Technician, Intermediate | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2010-05-20 |
| 1184942187 | Darlene Athena Iron Rope | Registered Nurse | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2010-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972712750 | Sudah Shaheb | Internal Medicine | 100 Indian Drive, Macy, NE 68039 | 2007-05-21 |
| 1629285192 | Keriane Nixon | Registered Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-16 |
| 1972717882 | Robin R Gordon | Registered Nurse | 100 Indian Hill Drive, Macy, NE 68039 | 2007-05-09 |
| 1477557080 | Patrick Stephen Cross | Physical Therapist | 100 Indian Hills Drive, Macy, NE 68039 | 2005-06-10 |
| 1881927655 | Traci Lyn Jenkins | Nurse Practitioner | 100 Indian Hills Drive, Macy, NE 68039 | 2009-09-11 |
| 1689869778 | Christine Marie Burns | Counselor | 100 Indian Hills Drive, Macy, NE 68039 | 2007-09-11 |
| 1104036904 | Natalie Grace Munoz | Licensed Practical Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-23 |
| 1992915797 | Guy A Kroger | Registered Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-23 |
| 1922218981 | Janie Marie Fournier | Licensed Practical Nurse | 100 Indian Hills Dr., Macy, NE 68039 | 2007-05-22 |
| 1528277621 | Sarah Mari Farrens | Registered Nurse | 100 Indian Hills Drive, Macy, NE 68039 | 2007-05-22 |
| Find all providers in zip 68039 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063971 | Kelly Olsson Cromer | Pharmacist | Po Box 250, Macy, NE 68039-0250 | 2005-06-14 |
| 1750538872 | Jeffrey Gildow | Pharmacist | 100 Indian Hills Dr, Macy, NE 68039-3023 | 2008-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598365249 | Kenneth Fuchtman | Pharmacist | 4969 S 174th Ave, Omaha, NE 68135-3463 | 2020-10-30 |
| 1073120796 | Derek Eugene Popken | Pharmacist | Nebraska Medicine, 987400 Nebraska Medical Center, Omaha, NE 68198-7400 | 2020-09-27 |
| 1427666767 | Eric Donald Schlegel | Pharmacist | 350 W 23rd St Ste E, Fremont, NE 68025-2592 | 2020-07-22 |
| 1184242950 | Adam Lee Goetz | Pharmacist | 225 S Bluff Str, Winnebago, NE 68071 | 2020-07-08 |
| 1073149688 | Anton Anderson | Pharmacist | 1301 W Norfolk Ave, Norfolk, NE 68701-4833 | 2020-03-14 |
| 1003441874 | Riddhi Prakashbhai | Pharmacist | 4578 S 60th St, Omaha, NE 68117-1217 | 2020-03-11 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1083249569 | Katrina Johanna Keebler | Pharmacist | 8315 W Center Rd, Omaha, NE 68124-3111 | 2020-03-05 |
| 1235761982 | Amanda Scholtes | Pharmacist | 1005 Roland Dr, Papillion, NE 68046-6166 | 2020-02-11 |
| 1578103644 | Nathan L Suck | Pharmacist | 2115 S 61st St, Omaha, NE 68106-2129 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
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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.