KIMBERLY PORTER (NPI# 1609227289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609227289 |
| Entity Type | Individual |
| Full Name | KIMBERLY PORTER |
| Practice Address |
2511 Old Cornwallis Rd Durham NC 27713-1869 |
| Mailing Address |
5302 Ian Dr Mc Leansville NC 27301-8123 |
| Practice Telephone | 9199483983 |
| Practice Fax Number | 9199336881 |
| Mailing Telephone | 3363270278 |
| Enumeration Date | 2016-06-25 |
| Last Update Date | 2016-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5008757 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1154501518 | Kimberly Anne Porter | Speech-Language Pathologist | 619 South St, Fitchburg, MA 01420-6248 | 2007-11-13 |
| 1619588894 | Kimberly Michelle Porter | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-08-12 |
| 1376060962 | Kimberly Ann Pauline Porter | Nurse Practitioner | 1400 W State St Ste C, West Lafayette, IN 47906-3438 | 2017-08-24 |
| 1184028284 | Kimberly Porter | Nurse Practitioner | 5151 N 9th Ave, Pensacola, FL 32504-8721 | 2014-10-17 |
| 1285072306 | Kimberly Alison Porter | Social Worker | 215 W Beamer St, Woodland, CA 95695-2510 | 2013-06-11 |
| 1619250529 | Kimberly Storey Porter | Nurse Practitioner | 12280 Lake Underhill Rd, Orlando, FL 32825-5009 | 2011-09-27 |
| 1013210996 | Kimberly Porter | Specialist | 2200 S Rural Rd, Tempe, AZ 85282-1411 | 2010-12-14 |
| 1831333434 | Kimberly Terrele Porter | Counselor | 412 Sw 12th Ave, Portland, OR 97205-2329 | 2009-04-27 |
| 1972771145 | Kimberly Porter | Speech-Language Pathologist | 9 Courthouse Dr, Winfield, WV 25213-9347 | 2008-02-11 |
| Street Address |
2511 OLD CORNWALLIS RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959560 | Shohreh Taavoni | Internal Medicine | 2511 Old Cornwallis Rd, Suite 200, Durham, NC 27713-1869 | 2005-08-10 |
| 1225637721 | Alexandria Wilson | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-10-26 |
| 1083223879 | Stanisha Natrice Williams | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-07-28 |
| 1306463898 | Susanna Gentry | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-06-30 |
| 1356977623 | Catelyn Vanauken Inman | Registered Nurse | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2020-03-19 |
| 1760033856 | Corinna Ter-antonyan | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-20 |
| 1952950859 | Megan D Long | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-09-04 |
| 1912560277 | Sharee Knox | Physician Assistant | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-22 |
| 1245792654 | Rebecca Waters | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-04-03 |
| 1932664448 | Elizabeth Jordan Barnes | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1306460340 | Francia Elena Marin | Nurse Practitioner | 6009 Garrett Rd, Durham, NC 27707-5349 | 2020-06-05 |
| 1154959658 | Allyson Kaye-winston Scott | Nurse Practitioner | 108 Oakmont Ave, Durham, NC 27713-1558 | 2020-03-30 |
| 1245866235 | Rosalyn Carson | Nurse Practitioner | 3710 Shannon Rd # 52570, Durham, NC 27707-6327 | 2020-03-21 |
| 1730726498 | Georgia Darby Smith | Nurse Practitioner | 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 | 2019-12-02 |
| 1639728801 | Tyra Tameka Gray | Nurse Practitioner | 225 Lodestone Dr, Durham, NC 27703-6634 | 2019-09-10 |
| 1134781453 | Godwin C Nweke | Nurse Practitioner | 3632 Ranbir Dr, Durham, NC 27713-1793 | 2019-07-08 |
| 1114586948 | Hadja Thiam | Nurse Practitioner | 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 | 2019-06-05 |
| 1649764846 | Kelly Johanna Valencia | Nurse Practitioner | 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 | 2018-06-20 |
| 1013434257 | Stephanie Howard Spaulding | Nurse Practitioner | 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 | 2017-08-28 |
| Find all providers in DURHAM | ||||
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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.