MR. RUSSELL JOSEPH PORTER (NPI# 1316996689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316996689 |
| Entity Type | Individual |
| Full Name | MR. RUSSELL JOSEPH PORTER |
| Credential | M.A. |
| Practice Address |
13800 Park Blvd Swt 200 Seminole FL 33776-3439 |
| Mailing Address |
3791 10th St Ne St Petersburg FL 33704-1609 |
| Practice Telephone | 7273989799 |
| Practice Fax Number | 7273947336 |
| Mailing Telephone | 7278214156 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH3873 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740373240 | Russell H. Porter | Physical Therapist | 2496 Muir Woods Dr West, Mobile, AL 36693 | 2006-10-02 |
| 1174545362 | Russell Trexler Porter | Family Medicine | 1448 Florida Ave, Modesto, CA 95350-4424 | 2006-07-24 |
| 1275511560 | Russell Porter | Family Medicine | 2000 North Villiage Ave, Ste 307, Rockville Centre, NY 11570-1001 | 2006-01-06 |
| 1154713923 | Russell Porter | Chiropractor | 706 E Langsford Rd, Lees Summit, MO 64063-2979 | 2015-03-03 |
| Street Address |
13800 PARK BLVD SWT 200 |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33776-3439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376752246 | Life and Health Psychology Associates Inc. | Psychologist | 13800 Park Blvd, Seminole, FL 33776-3439 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003460577 | Marie Gruca | Behavior Technician | 7777 131st Street 7, Seminole, FL 33776 | 2019-08-01 |
| 1023525466 | Janis Dee Grooms | Counselor | 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 | 2018-01-08 |
| 1043737109 | Keleigh E Devlin | Behavior Technician | 12505 Starkey Road, Suite G, Largo, FL 33776 | 2017-08-29 |
| 1821527276 | Dane Andrew Kuplicki | Optometrist | 14194 84th Terrace North, Seminole, FL 33776 | 2017-06-08 |
| 1124465190 | Dolphin House Assisted Living Facility | Assisted Living Facility | 9670 134th Street N., Seminole, FL 33776 | 2013-05-30 |
| 1952671489 | Drin Mita | Pharmacist | 13705 78th Avenue North, Seminole, FL 33776 | 2011-12-30 |
| 1982987350 | Laura D Rustin | Marriage & Family Therapist | 10913 70th Ave N, Seminole, FL 33776 | 2011-09-22 |
| 1174790083 | Mary Jane Jones | Occupational Therapist | 13791 Montego Dr, Seminole, FL 33776 | 2008-05-09 |
| 1730309238 | Robert P Brillon | Pharmacist | 14502 Alejo Court, Seminole, FL 33776 | 2007-04-26 |
| 1184710774 | Dean A. Pedalino | Pharmacist | 9858 Indian Key Trail, Seminole, FL 33776 | 2006-10-04 |
| Find all providers in zip 33776 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669948196 | Kirk J Murdock | Counselor | 10764 70th Ave Apt 3204, Seminole, FL 33772-6373 | 2018-10-23 |
| 1518449461 | Dana Marie Hobbs | Counselor | 101 N Union, Seminole, OK 74868 | 2018-09-06 |
| 1023525466 | Janis Dee Grooms | Counselor | 9160 Oakhurst Rd Ste 3b, Seminole, FL 33776 | 2018-01-08 |
| 1417409459 | Maria Erickson | Counselor | 11882 91st Ter, Seminole, FL 33772-2744 | 2016-10-25 |
| 1104209113 | Laura Eastman | Counselor | 7109 Augusta Blvd, Seminole, FL 33777-4531 | 2015-07-08 |
| 1912273715 | Kandi Spencer | Counselor | 8588 Starkey Rd Ste E, Seminole, FL 33777-2831 | 2012-03-26 |
| 1457653560 | Clara Mae Keawphalouk | Counselor | 1000 Reid St, Seminole, OK 74868-2204 | 2010-11-22 |
| 1164736278 | Traci Brenee Jackson | Counselor | 300 E. Seminole, Seminole, OK 74858 | 2010-07-30 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1508191081 | Melissa Wood | Counselor | 8873 Osprey Ln, Seminole, FL 33777-3351 | 2009-10-16 |
| Find all providers in SEMINOLE | ||||
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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.