ESTACY PORTER


Address: 142 Allen Dr, Fort Leavenworth, KS 66027-1421
Phone: 7577889578

ESTACY PORTER (NPI# 1609333509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 142 ALLEN DR
City FORT LEAVENWORTH
State KS
Zip Code 66027-1421

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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
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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

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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
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Competitor

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City FORT LEAVENWORTH
Zip Code 66027

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Dataset Information

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.

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