ESTACY PORTER (NPI# 1609333509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609333509 |
Entity Type | Individual |
Full Name | ESTACY PORTER |
Credential | DNP, NP |
Practice Address |
142 Allen Dr Fort Leavenworth KS 66027-1421 |
Practice Telephone | 7577889578 |
Mailing Telephone | 7577889578 |
Enumeration Date | 2019-02-27 |
Last Update Date | 2019-02-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
53-78383-111 | KS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
142 ALLEN DR |
City | FORT LEAVENWORTH |
State | KS |
Zip Code | 66027-1421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376801019 | Sarah M. Galloway | Counselor | 32 Pick Ave, Fort Leavenworth, KS 66027 | 2012-05-01 |
1659566750 | Dong S Lee | Dentist | Us Army Dental Health Activity, 520 Pope Avenue, Fort Leavenworth, KS 66027 | 2007-09-11 |
1942354998 | Shaun Lydell Kanion | Dentist | 520 Pope Avenue, Us Army Dental Activity, Ft. Leavenworth, KS 66027 | 2007-01-23 |
1366518433 | Munson Army Health Center | Clinic/Center | Munson Army Health Center, 550 Pope Avenue, Fort Leavenworth, KS 66027 | 2006-11-28 |
1063594158 | Ellen Henley Galloway | Psychologist | 1301 North Warehouse Rd, Usdb-dtp, Ft Leavenworth, KS 66027 | 2006-10-19 |
1083666770 | Mary Shancy Francis | Family Medicine | Munson Army Health Center 550 Pope Ave, Leavenworth, KS 66027 | 2006-05-17 |
1407139371 | Sashi A Zickefoose | Nurse Practitioner | 550 Pope Ave, Fort Leavenworth, KS 66027 | 2011-09-27 |
1821378977 | Kirsty Anne Parvin | Registered Nurse | 550 Pope Ave, Fort Leavenworth, KS 66027 | 2011-08-22 |
1053601724 | Forest Tu Pavel | Counselor | 1301 N Warehouse Rd, Fort Leavenworth, KS 66027 | 2011-04-14 |
1356670277 | Jessica Dubose | Registered Nurse | 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Mr. Kennedy, Fort Leavenworth, KS 66027 | 2009-12-24 |
Find all providers in zip 66027 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730393109 | Margaret Baker | Nurse Practitioner | 1900 E 9th St N, Wichita, KS 67214-3115 | 2007-05-09 |
1750594271 | Regina Agwu | Nurse Practitioner | 2716 W Central Ave, Wichita, KS 67203-4904 | 2007-05-08 |
1699777425 | Cheryl A Rajotte | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2005-08-11 |
1043830748 | Jerusha N Muniu | Nurse Practitioner | 2001 Claflin Rd, Manhattan, KS 66502-3415 | 2020-04-22 |
1518359439 | Tai Schmotzer | Nurse Practitioner | 2318 E Central Ave, Wichita, KS 67214-4436 | 2015-03-02 |
1457682296 | Sheila Kay Kocher | Nurse Practitioner | 2707 E 21st St N, Wichita, KS 67214-2249 | 2010-01-19 |
1063604940 | William T Carl | Nurse Practitioner | 3011 N Michigan St, Pittsburg, KS 66762-2546 | 2007-08-14 |
1669685160 | Rhonda Smith | Nurse Practitioner | 2716 W Central Ave, Wichita, KS 67203-4904 | 2007-05-08 |
1972716405 | Stacy Blankenship | Nurse Practitioner | 2716 W Central Ave, Wichita, KS 67203-4904 | 2007-05-08 |
1629281373 | County of Sedgwick | Nurse Practitioner | 2716 W Central Ave, Wichita, KS 67203-4904 | 2007-05-08 |
Find all providers with the same taxonomy |
City | FORT LEAVENWORTH |
Zip Code | 66027 |
Please comment or provide details below to improve the information on ESTACY 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.