MRS. VICKI MARIE PORTER (NPI# 1699800698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699800698 |
| Entity Type | Individual |
| Full Name | MRS. VICKI MARIE PORTER |
| Credential | L. P. T. |
| Practice Address |
2731 Nugget Ave. Lake Isabella CA 93240-2632 |
| Mailing Address |
Po Box 2632 Lake Isabella CA 93240-2632 |
| Practice Telephone | 7603793412 |
| Practice Fax Number | 7603791364 |
| Mailing Telephone | 7603793412 |
| Mailing Fax Number | 7603791364 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT 30178 | CA | Nursing Service Providers |
| Street Address |
2731 NUGGET AVE. |
| City | LAKE ISABELLA |
| State | CA |
| Zip Code | 93240-2632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215186903 | Kelly R Hastings | Case Manager/Care Coordinator | 2731 Nugget Ave., Lake Isabella, CA 93240 | 2008-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568001 | Chelsea Rose Vega | Case Manager/Care Coordinator | 2731 Nugget Aveune, Lake Isabella, CA 93240 | 2020-01-30 |
| 1891224655 | David Travis Stirling | Chiropractor | 3615 Wagon Wheel Dr, Lake Isabella, CA 93240 | 2017-06-06 |
| 1629442017 | Parinaz Khojastehfar | Pharmacist | 5530 Lake Isabella, Lake Isabella, CA 93240 | 2015-11-23 |
| 1184040610 | Joseph M Kent Dds Inc. | Dentist | 6421 Lynch Canyon Drive, Lake Isabella, CA 93240 | 2014-03-07 |
| 1720347495 | Patricia Maria Arellano | Massage Therapist | 3611 Wagon Wheel, Lake Isabella, CA 93240 | 2012-05-15 |
| 1104154533 | College Community Services | Community/Behavioral Health | 2717 Nugget Avenue, Lake Isabella, CA 93240 | 2009-11-23 |
| 1407028442 | Faith Lucille Morrison | Massage Therapist | 5540 Kern Valley Plaza, Lake Isabella Blvd, Lake Isabella, CA 93240 | 2008-03-31 |
| 1730388992 | Kent Edward Skogerson | Surgery | 4612 Laurel Ave, Lake Isabella, CA 93240 | 2007-07-17 |
| 1275749145 | Trung Nguyen | Dentist | 5640 Lake Isabella Blvd # A5, Box 3254, Lake Isabella, CA 93240 | 2007-05-15 |
| 1184840209 | Robert A Rachal | Hearing Instrument Specialist | 6040 B Lake Isabella Blvd, Lake Isabella, CA 93240 | 2007-04-17 |
| Find all providers in zip 93240 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093360786 | Charity L Sellers | Licensed Psychiatric Technician | 2731 Nugget Ave, Lake Isabella, CA 93240-9456 | 2019-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ISABELLA |
| Zip Code | 93240 |
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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.