MRS. PAMELA SUE PORTER (NPI# 1366481178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366481178 |
| Entity Type | Individual |
| Full Name | MRS. PAMELA SUE PORTER |
| Credential | APRN, MSN, FNP,BC |
| Practice Address |
9281 Office Park Cir Suite 120 Elk Grove CA 95758-8068 |
| Mailing Address |
3322 Laguna Ave Davis CA 95616-4918 |
| Practice Telephone | 9166915988 |
| Practice Fax Number | 9166916717 |
| Mailing Telephone | 9169232107 |
| Mailing Fax Number | 9166489131 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN 445209 FNP 62 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679888150 | Pamela Diane Porter | Licensed Practical Nurse | 446 S Raccoon Rd, Apt. A-44, Austintown, OH 44515-3645 | 2010-08-09 |
| 1063913739 | Pamela Porter | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2018-02-27 |
| 1144661778 | Pamela Lorene Porter | Social Worker | 201 N High St, Muncie, IN 47305-1617 | 2013-07-11 |
| 1245477124 | Pamela Sue Porter | Nurse Practitioner | 3030 North St, Suite 312, Beaumont, TX 77702-1434 | 2009-01-14 |
| Street Address |
9281 OFFICE PARK CIR SUITE 120 |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-8068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194799650 | Gregory Edward Douglas | Obstetrics & Gynecology | 9281 Office Park Cir, 120, Elk Grove, CA 95758-8068 | 2006-02-13 |
| 1093010159 | Laguna Family Practice | Clinic/Center | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2011-01-21 |
| 1497074363 | Glenda Goodwin Md Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-05-18 |
| 1316264641 | Laguna Family Practice, Inc | Obstetrics & Gynecology | 9281 Office Park Cir, Suite 120, Elk Grove, CA 95758-8068 | 2010-04-26 |
| 1053641514 | Sarah Elizabeth Mcdowell | Physical Therapist | 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 | 2010-01-06 |
| 1699911818 | Kathleen Cassidy Peck | Physical Therapist | 9281 Office Park Cir, Suite 110, Elk Grove, CA 95758-8068 | 2008-12-17 |
| 1831259530 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-12-11 |
| 1275609828 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-11-27 |
| 1972694289 | Jamie S Sherman | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-28 |
| 1578662128 | Yolanda H Valle | Pediatrics | 9281 Office Park Cir, #120, Elk Grove, CA 95758-8068 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343570 | Krista Courtney Dizon Dacasin | Nurse Practitioner | 9890 Cape Verde Dr, Elk Grove, CA 95757-6329 | 2020-10-11 |
| 1831715507 | Peggy Dip | Nurse Practitioner | 9580 Rockybrook Way, Elk Grove, CA 95624-4055 | 2020-06-18 |
| 1750904751 | Emmanuel Oliva Aglubat | Nurse Practitioner | 9746 Forest View Ct, Elk Grove, CA 95757-2606 | 2020-05-26 |
| 1790317873 | Dennis Nguyen | Nurse Practitioner | 9428 Havenview Way, Elk Grove, CA 95624-6032 | 2020-02-06 |
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1710452826 | Arnold Altiveros | Nurse Practitioner | 9589 Four Winds Dr Apt 1217, Elk Grove, CA 95758-7146 | 2018-10-04 |
| 1548747520 | Oby Som-anya | Nurse Practitioner | 7226 Novato Ct, Elk Grove, CA 95757-3462 | 2018-07-23 |
| 1710474317 | Melissa Anne-su Huynh | Nurse Practitioner | 10313 Hite Cir, Elk Grove, CA 95757-3522 | 2018-04-18 |
| 1760979637 | Laurence Nikko Crisostomo | Nurse Practitioner | 6617 Tronzano Way, Elk Grove, CA 95757-3057 | 2018-04-17 |
| 1265971527 | Arnecia Lewis-smith | Nurse Practitioner | 9401 E Stockton Blvd Ste 150, Elk Grove, CA 95624-5051 | 2017-02-20 |
| Find all providers in ELK GROVE | ||||
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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.