MASITA ISABEL PORAY (NPI# 1386197770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386197770 |
| Entity Type | Individual |
| Full Name | MASITA ISABEL PORAY |
| Other Name | MASITA MATUKA |
| Credential | NP |
| Practice Address |
5435 E 16th St Ste 500 Indianapolis IN 46218-4869 |
| Mailing Address |
6626 E 75th St Ste 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3173558280 |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
71006787A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
71006787A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
71006787A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201409920 | 05 | |
| IN | RR MEDICARE | P01824535 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9894 E 121st St, Fishers, IN 46037 | 3176216060 | 3173556965 |
| Street Address |
5435 E 16TH ST STE 500 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444775 | Anu Abraham Ade Owofadeju | Nurse Practitioner | 8820 S Meridian St Ste 225, Indianapolis, IN 46217-6064 | 2020-07-21 |
| 1356959068 | Indy Behavioral Health LLC | Nurse Practitioner | 2611 Waterfront Parkway East Dr Ste 370, Indianapolis, IN 46214-2069 | 2020-07-20 |
| 1376184556 | Carrie Mefford | Nurse Practitioner | 5435 E 16th St, Indianapolis, IN 46218-4869 | 2019-09-30 |
| 1124599394 | Adria Dawn Thornburgh | Nurse Practitioner | 6235 Forest View Dr, Indianapolis, IN 46260-4707 | 2018-12-16 |
| 1033693213 | Katie Marie Feeney | Nurse Practitioner | Riley Children's Hospital, 705 Riley Hospital Dr, Indianapolis, IN 46202 | 2018-09-24 |
| 1912453937 | Andrew J Slaton | Nurse Practitioner | 1503 N Mitthoeffer Rd, Indianapolis, IN 46229-2425 | 2016-08-30 |
| 1528487659 | Elise S Montoya | Nurse Practitioner | 9106 North Meridian Street, Suite 100, Indianapolis, IN 46260 | 2014-04-16 |
| 1982046587 | Hillary A House | Nurse Practitioner | 2040 North Shadeland Ave, Ste 200, Indianapolis, IN 46219-1734 | 2013-07-24 |
| 1982936175 | Krista Schwuchow | Nurse Practitioner | 3403 E Raymond St, Indianapolis, IN 46203-4744 | 2010-02-12 |
| 1730265356 | Tammy Jo Bradford | Nurse Practitioner | 5251 S East St Ste 25b, Indianapolis, IN 46227-2061 | 2006-10-27 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
Please comment or provide details below to improve the information on MASITA ISABEL PORAY.
| 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.