SHELLEY PORTER


Address: 900 E Broadway Avenue, Bismarck, ND 58501
Phone: 7015307000

SHELLEY PORTER (NPI# 1235273855) 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) 1235273855
Entity Type Individual
Full Name SHELLEY PORTER
Credential LRD
Practice Address 900 E Broadway Avenue
Bismarck
ND 58501
Mailing Address 900 E Broadway Avenue
P.o. Box 997
Bismarck
ND 58502-0997
Practice Telephone 7015307000
Practice Fax Number 7015308842
Mailing Telephone 7015307000
Mailing Fax Number 7015308842
Enumeration Date 2007-02-16
Last Update Date 2010-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered 28 ND Dietary & Nutritional Service Providers

Other Providers SHELLEY PORTER

NPI Name Taxonomy Address Enumeration
1871969170 Shelley Denise Porter Counselor 105 Park Ave Apt 1b, East Orange, NJ 07017-5232 2015-08-20

Office Location

Street Address 900 E BROADWAY AVENUE
City BISMARCK
State ND
Zip Code 58501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558348193 Timothy M. Gold Anesthesiology 900 E Broadway Avenue, Bismarck, ND 58501-4520 2005-12-26
1669884920 Morris O Duffy Physician Assistant 900 E Broadway Avenue, Bismarck, ND 58501-4520 2014-05-21
1750561759 Nicole M Sebastian Speech-Language Pathologist 900 E Broadway Avenue, Bismarck, ND 58501 2007-11-07
1336283928 St Alexius Medical Center Pharmacy 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1063556652 Gloria D Wolf Nurse Practitioner 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1376687046 Gary Ritter Nurse Anesthetist, Certified Registered 900 E Broadway Avenue, Bismarck, ND 58501 2007-02-16
1184760043 Valentine Wangler Social Worker 900 E Broadway Avenue, Bismarck, ND 58501 2007-01-29
1598819856 John J Hagan Internal Medicine 900 E Broadway Avenue, Bismarck, ND 58501 2007-01-23
1356495592 Melissa Horner Nurse Practitioner 900 E Broadway Avenue, Bismarck, ND 58501 2007-01-23
1841343191 Jerry R Town Nurse Anesthetist, Certified Registered 900 E Broadway Avenue, Bismarck, NC 58501 2007-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811500911 Sonja Lee Bosch Counselor 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 2020-08-28
1649740630 Stephanie Marie Simburger Social Worker 3111 East Broadway Ave, Bismarck, ND 58501 2018-12-03
1679042519 Prairie Rose Family Dentists Dentist 1110 College Dr., Suite 110, Bismark, ND 58501 2018-11-21
1386111276 Arielle Joy Flynn Genetic Counselor, MS 414 N Seventh Street, Bismarck, ND 58501 2018-10-29
1164901799 Karalee Joy Harper Counselor 101 E. Broadway Ave, Bismarck, ND 58501 2018-08-14
1518457811 Myckenzie Saari Behavior Technician 1929 N Washington St., Bismarck, ND 58501 2018-05-14
1831687532 Jacquelyn Mahoney Behavioral Analyst 604 North Ave, Bismarck, ND 58501 2018-04-27
1710403811 Kayla Marie Watson Behavior Technician 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 2017-08-21
1306368220 Scott Vandyke Occupational Therapist 300 N. 7th St, Bismarck, ND 58501 2017-07-12
1144670019 Bismarck Psychological Associates, Pllc Psychologist 107 W. Main Ave., Suite 225, Bismarck, ND 58501 2016-06-21
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration.
Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679110589 John E Finn Dietitian, Registered 8500 106th St Se, Bismarck, ND 58504-4025 2019-12-10
1730737420 Brianna N Wanner Dietitian, Registered 1953 Houston Dr, Bismarck, ND 58504-7208 2019-08-27
1770020455 Tera Miller Dietitian, Registered 509 Cottonwood Loop, Bismarck, ND 58504-7411 2017-01-19
1932456589 Rose M Johnson Dietitian, Registered 2019 Koch Dr, Bismarck, ND 58503-1240 2012-08-13
1922271501 Cathy Ann Deics Dietitian, Registered 8300 White Oak Loop, Bismarck, ND 58501-9325 2008-04-04
1659469385 Kristen M Blees Dietitian, Registered 1800 E Interstate Ave Ste C, Bismarck, ND 58503-1566 2006-10-10
1346856002 Stephanie L Jensen Dietitian, Registered 401 N 9th St, Bismarck, ND 58501-4506 2020-09-18
1194343293 Sierra Kolle Dietitian, Registered 300 N 7th St, Bismarck, ND 58501-4439 2020-07-06
1437783701 Danielle Rusch Dietitian, Registered 300 N 7th St, Bismarck, ND 58501-4439 2020-02-26
1427524610 Rachel Marie Iverson Dietitian, Registered 300 N 7th St, Bismarck, ND 58501-4439 2018-10-16
Find all providers in BISMARCK

Competitor

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City BISMARCK
Zip Code 58501

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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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