PEGGY J PORTER (NPI# 1497881742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497881742 |
| Entity Type | Individual |
| Full Name | PEGGY J PORTER |
| Credential | FNP |
| Practice Address |
81-6587 Mamalahoa Hwy C 201 Kealakekua HI 96750 |
| Mailing Address |
816587 Mamalahoa Hwy Kealakekua HI 96750 |
| Practice Telephone | 8083233107 |
| Practice Fax Number | 8083230012 |
| Mailing Telephone | 8083233107 |
| Mailing Fax Number | 8083230012 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
440373 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 150022507 | 05 | |
| TX | 150022505 | 05 | |
| TX | 150022506 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740534510 | Peggy Lee Porter | Pathology | 1100 Fairview Ave N, Seattle, WA 98109-4433 | 2012-11-01 |
| Street Address |
81-6587 MAMALAHOA HWY C 201 |
| City | KEALAKEKUA |
| State | HI |
| Zip Code | 96750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982616 | Jeffrey Winston Cumes | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C #23, Kealakekua, HI 96750-8133 | 2006-05-23 |
| 1407472608 | Michelle Felix | Specialist | 81-6587 Mamalahoa Hwy, Bldg C Suite 101, Kealakekua, HI 96750 | 2020-06-23 |
| 1134749492 | Desiree Jenkins | Registered Nurse | 81-6587 Mamalahoa Hwy, Kealakekua, HI 96750 | 2020-04-16 |
| 1336772094 | Anne Julia Padilla | Behavior Technician | 81-6587 Mamalahoa Hwy, Pualani Terrace #c, Kealakekua, HI 96750 | 2020-02-20 |
| 1144860602 | Stephanie Bates | Psychologist | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2020-01-13 |
| 1457902876 | Lindsay Roth | Social Worker | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-26 |
| 1194376731 | Mara Tepper | Case Manager/Care Coordinator | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2019-09-25 |
| 1013498534 | Michelle M Lang | Psychologist | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2018-08-23 |
| 1790296283 | Kyra Jones | Counselor | 81-6587 Mamalahoa Hwy, Pualani Terrace Bldg C, Kealakekua, HI 96750 | 2017-10-24 |
| 1679097406 | Jeanette Marie Clarke | Counselor | 81-6587 Mamalahoa Hwy, Bldg C, Kealakekua, HI 96750 | 2017-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629690300 | Sangeetha Nair | Marriage & Family Therapist | 81-6327 Mamalahoa Hwy, Crow's Nest, Kealakekua, HI 96750 | 2020-05-15 |
| 1790313351 | Julia Ok Jeoung | Licensed Practical Nurse | 81-6587 Mamalahoa Hwy C301, Kealakekua, HI 96750 | 2020-03-30 |
| 1588209134 | James M Nagao | Dentist | 81-904 Halekii Street, Kealakekua, HI 96750 | 2019-11-07 |
| 1255975249 | Affordable Care LLC | Home Health | 79-7393 Mamalahoa Hwy., Kealakekua, HI 96750 | 2019-11-01 |
| 1275174708 | Kelsi Nishina | Dietitian, Registered | 81-891 Manawa St, Kealakekua, HI 96750 | 2019-10-06 |
| 1245718311 | Star Pt LLC | Clinic/Center | 81-6264 Mamalahoa Hwy, Kealakekua, HI 96750 | 2018-08-01 |
| 1043701089 | Yaser Alsaadi | Clinic/Center | 81-990 Halekii St., Suite 7, Kealakekua, HI 96750 | 2018-05-25 |
| 1679094411 | Felicisima Miguel Saito | Home Health Aide | 81-1018 Meleana Place, Kealakekua, HI 96750 | 2017-07-02 |
| 1023551017 | Alsen Saito | Residential Treatment Facility, Physical Disabilities | 81-1018 Meleana Pl, Kealakekua, HI 96750 | 2016-11-23 |
| 1225480809 | Emilio Roberto Hernandez | Dentist | 81-990 Halekii Street, Suite 7, Kealakekua, HI 96750 | 2016-07-07 |
| Find all providers in zip 96750 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678123 | Veronica Alexis Barroga | Nurse Practitioner | 99-705 Holoai St, Aiea, HI 96701-3581 | 2020-10-26 |
| 1477150837 | Jonathan Keeming Cheng | Nurse Practitioner | 46-304 Ahui Nani Pl, Kaneohe, HI 96744-4054 | 2020-10-07 |
| 1255947685 | Carly Paige Aldag | Nurse Practitioner | 14 Aulike St Apt 804, Kailua, HI 96734-2744 | 2020-09-21 |
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1215541644 | Kristen Ashtley Simon | Nurse Practitioner | 91-1020 Makaike St, Ewa Beach, HI 96706-5111 | 2020-09-02 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1538770631 | Kara Emi Yoshida | Nurse Practitioner | 1516 Hoolehua St, Pearl City, HI 96782-1727 | 2020-08-12 |
| 1750992806 | Tammy M Mckee | Nurse Practitioner | 66-345 Kaamooloa Rd Apt F, Waialua, HI 96791-9702 | 2020-08-12 |
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1588273759 | Terri-ann Davis | Nurse Practitioner | 91-1752 Puhiko St, Ewa Beach, HI 96706-4838 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | KEALAKEKUA |
| Zip Code | 96750 |
Please comment or provide details below to improve the information on PEGGY J PORTER.
| 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.