CHRISTIAN MICHAEL PORTER (NPI# 1346851326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346851326 |
| Entity Type | Individual |
| Full Name | CHRISTIAN MICHAEL PORTER |
| Practice Address |
1204 Staceys Meadow Ln North Liberty IN 46554-9231 |
| Practice Telephone | 5743602767 |
| Mailing Telephone | 5743602767 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194364778 | Christian Wayne Porter | Behavioral Analyst | 322 Dupont Dr Ste C, Seymour, IN 47274-1764 | 2019-12-31 |
| 1083072854 | Christian Porter | Physical Therapist | 101 E State St, Kennett Square, PA 19348-3109 | 2016-02-08 |
| Street Address |
1204 STACEYS MEADOW LN |
| City | NORTH LIBERTY |
| State | IN |
| Zip Code | 46554-9231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306022777 | Liberty Township Trustee | Community Health Worker | 108 South Street, North Liberty, IN 46554 | 2008-01-16 |
| 1649441890 | Kerry Robert Knape | Dentist | 100 S Main Street, North Liberty, IN 46554 | 2008-03-17 |
| 1740281690 | Tamera J. Andrews | Nurse Practitioner | 100 S Main St, North Liberty, IN 46554 | 2005-08-02 |
| 1912550765 | Shamrock Health and Wellness Clinic, LLC | Clinic/Center | 100 S Main St, North Liberty, IN 46554-7705 | 2019-07-22 |
| 1497038962 | Stacey Holderread | Pharmacist | 104 Singleton Dr, North Liberty, IN 46554-9051 | 2011-09-21 |
| 1952840548 | James Mitchell | Occupational Therapist | 63995 Thorn Rd, North Liberty, IN 46554-9174 | 2017-02-16 |
| 1295275337 | Kristin Curtis | Specialist/Technologist, Other | 103 Taylors Way, North Liberty, IN 46554-9223 | 2017-03-07 |
| 1689948556 | Anita Ellen Shipley | Physical Therapy Assistant | 66325 Redwood Rd, North Liberty, IN 46554-9456 | 2012-02-23 |
| 1215579271 | Kathleen Knowlton | Physical Therapy Assistant | 62603 Redwood Rd, North Liberty, IN 46554-9743 | 2019-10-11 |
| 1972169878 | Jasmine Kosinski | Occupational Therapist | 60250 Crumstown Hwy, North Liberty, IN 46554-9753 | 2019-05-15 |
| Find all providers in zip 46554 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477118362 | Paul James Giovannini | Student in an Organized Health Care Education/Training Program | 1860 Carroll Ct, North Liberty, IA 52317-8637 | 2019-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204442 | Stephanie Copeland | Student in an Organized Health Care Education/Training Program | 2508 Castor Ln, Madison, IN 47250-2496 | 2020-10-26 |
| 1801493226 | Justin Clark | Student in an Organized Health Care Education/Training Program | 7337 Wythe Dr, Noblesville, IN 46062-7785 | 2020-10-08 |
| 1962009639 | Raegan Michelle Walther | Student in an Organized Health Care Education/Training Program | 8489 W 700 N, Fair Oaks, IN 47943-8527 | 2020-10-06 |
| 1255938197 | Christopher Rodney West | Student in an Organized Health Care Education/Training Program | 8616 Burrell Ln, Indianapolis, IN 46256-6306 | 2020-10-05 |
| 1285241828 | Paris Janee Avant | Student in an Organized Health Care Education/Training Program | 8926 Mario Creek Dr, Indianapolis, IN 46234 | 2020-09-28 |
| 1740897362 | Taylor Traub | Student in an Organized Health Care Education/Training Program | 12890 Old Meridian St Apt 350, Carmel, IN 46032-8934 | 2020-09-28 |
| 1962016931 | Grant Sylvester Olsen | Student in an Organized Health Care Education/Training Program | 3910 Newport Ave Apt 13, Fort Wayne, IN 46805-1383 | 2020-09-07 |
| 1992318158 | Maria Yvette Borden | Student in an Organized Health Care Education/Training Program | University of Indianapolis, Health Pavilion 253, Indianapolis, IN 46217 | 2020-08-27 |
| 1073126504 | Emily Marie Shoupe | Student in an Organized Health Care Education/Training Program | 15342 Monterosa Dr, Granger, IN 46530-9494 | 2020-08-25 |
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LIBERTY |
| Zip Code | 46554 |
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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.