KIMBERLY MICHELLE PORTER (NPI# 1619588894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619588894 |
| Entity Type | Individual |
| Full Name | KIMBERLY MICHELLE PORTER |
| Practice Address |
820 Poplar St Kenova WV 25530-1530 |
| Practice Telephone | 3044534992 |
| Mailing Telephone | 3044534992 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related 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 |
| 1376060962 | Kimberly Ann Pauline Porter | Nurse Practitioner | 1400 W State St Ste C, West Lafayette, IN 47906-3438 | 2017-08-24 |
| 1609227289 | Kimberly Porter | Nurse Practitioner | 2511 Old Cornwallis Rd, Durham, NC 27713-1869 | 2016-06-25 |
| 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 |
820 POPLAR ST |
| City | KENOVA |
| State | WV |
| Zip Code | 25530-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245849769 | Breanna Nicole Brewer | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-07-30 |
| 1780284463 | Latisha Mae Wooten | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-30 |
| 1619577434 | Larry Kenneth Smith | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-30 |
| 1407456478 | D'wan Laranso Wheeler | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-29 |
| 1790385060 | Cassandra Michelle Hite | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-27 |
| 1457950644 | Susan Nanette Duncan | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-20 |
| 1083212633 | Eunice Fay Woodrum | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-15 |
| 1912504671 | Christine Zane Hicks | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-06 |
| 1245837467 | Jessica Renee Vaughn | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-01 |
| 1487261624 | Tashena Jezewski | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396121 | Amanda Carter | Technician | 1624 Beech St, Kenova, WV 25530 | 2019-10-03 |
| 1063928026 | Robert Mckinley Ross | Technician | 2100 Sycamore Street, Kenova, WV 25530 | 2017-12-28 |
| 1801280011 | Michels' Counseling and Consulting | Community/Behavioral Health | 4600 A Rt 152, Wayne, WV 25530 | 2015-03-25 |
| 1104047000 | Rita M. Vaughn | Counselor | 802 Oak St, Kenova, WV 25530 | 2007-05-01 |
| 1598823684 | Sandi Kiser Griffith | Psychologist | 748 Beech St, Kenora, WV 25530 | 2006-12-04 |
| 1174611818 | Elizabeth Marilynn Feltner | Podiatrist | 1102 Poplar Street, Kenova, WV 25530 | 2006-10-10 |
| 1366093676 | Jamie Lowe | Technician | 1218 Chestnut St, Kenova, WV 25530 | 2019-09-27 |
| 1043706484 | Contemplations Behavioral Health Services Ltd. Co. | Counselor | 802 Oak St, Kenova, WV 25530 | 2018-07-09 |
| 1417462896 | Carol Kay Fuller | Technician | 925 Chestnut Street, Kenova, WV 25530 | 2017-12-07 |
| 1215171475 | Larry Eugene Smith Jr. | Physical Therapy Assistant | 1612 Oak St, Kenova, WV 25530-1118 | 2009-04-30 |
| Find all providers in zip 25530 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153872 | Joy Christopher | Technician | 2113 Sycamore St, Kenova, WV 25530-1662 | 2020-10-27 |
| 1760080303 | Pamela Hodge | Technician | 41 Pine Hill Estates Rd, Kenova, WV 25530-9736 | 2020-10-15 |
| 1578176392 | Brandy Rose | Technician | 1211 Oak St, Kenova, WV 25530-1334 | 2020-08-31 |
| 1972115913 | Sue Ellen Estep | Technician | 2508d Hutchinson Branch Rd, Kenova, WV 25530-9753 | 2020-08-20 |
| 1417566845 | Barbara Blankenship | Technician | 8 Darling Ln, Kenova, WV 25530-9514 | 2020-07-31 |
| 1245849769 | Breanna Nicole Brewer | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-07-30 |
| 1063928026 | Robert Mckinley Ross | Technician | 2100 Sycamore Street, Kenova, WV 25530 | 2017-12-28 |
| 1780284463 | Latisha Mae Wooten | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-30 |
| 1619577434 | Larry Kenneth Smith | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-30 |
| 1407456478 | D'wan Laranso Wheeler | Technician | 820 Poplar St, Kenova, WV 25530-1530 | 2020-10-29 |
| Find all providers in KENOVA | ||||
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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.