NICOLE PORTER (NPI# 1750928925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750928925 |
| Entity Type | Individual |
| Full Name | NICOLE PORTER |
| Other Name | NICOLE COURT-MENENDEZ |
| Credential | ATC |
| Practice Address |
390 Se 10th St Madras OR 97741-1573 |
| Mailing Address |
274 Se Hering Rd Madras OR 97741-9004 |
| Practice Telephone | 2073339413 |
| Mailing Telephone | 2073339413 |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2019-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957092 | Nicole Porter | Social Worker | 600 W Campbell Rd Ste 1, Richardson, TX 75080-3357 | 2019-11-25 |
| 1467922179 | Nicole Diana Porter | Behavior Technician | 1652 W Texas St Ste 244, Fairfield, CA 94533-5952 | 2018-11-26 |
| 1891260162 | Nicole Porter | Psychologist | 201 Colorado Ave, Frankfort, IL 60423-1333 | 2018-10-12 |
| 1164997771 | Nicole Porter | Counselor | 232 2nd Ave S Ste 201, Kent, WA 98032-5862 | 2018-10-10 |
| 1003394347 | Nicole Porter | Community/Behavioral Health | 7700 Irvine Center Dr Ste 220, Irvine, CA 92618-3012 | 2018-07-30 |
| 1275064081 | Nicole Porter | Occupational Therapist | 7 Carnegie Plz, Cherry Hill, NJ 08003-1000 | 2017-03-23 |
| 1437552064 | Nicole L Porter | Physician Assistant | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2014-09-26 |
| 1912244823 | Nicole Porter | Community Health Worker | 5350 Machado Ln, Culver City, CA 90230-8800 | 2013-01-11 |
| Street Address |
390 SE 10TH ST |
| City | MADRAS |
| State | OR |
| Zip Code | 97741-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649484858 | Michaela Franco Nalamliang | Nurse Practitioner | 390 Se 10th St, Madras, OR 97741-1573 | 2007-05-09 |
| 1023567815 | Mosaic Medical | Clinic/Center | 390 Se 10th St, Madras, OR 97741-1573 | 2016-09-22 |
| 1558728485 | Michael A Long | Counselor | 390 Se 10th St, Madras, OR 97741 | 2016-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868196 | Orie Made | Counselor | 185 Nw D St, Suite D&e, Madras, OR 97741 | 2018-07-27 |
| 1831514603 | Robbin Webber Foster | Social Worker | 470 Ne 'a' St., St. Charles Hospice, Madras, OR 97741 | 2014-03-03 |
| 1184055931 | Sue Lillian Dixon | Nurse Practitioner | 715 S.w. 4th St., Ste.c, Madras, OR 97741 | 2013-12-04 |
| 1255769667 | Aaron Michael Lee | Physician Assistant | 76 N.e. 12th St., Madras, OR 97741 | 2013-10-22 |
| 1114276045 | April A Henselman Campanella | Dental Hygienist | 376 Ne Oak Street, Madras, OR 97741 | 2012-09-06 |
| 1487809091 | Bestcare Treatment Services | Substance Abuse Rehabilitation Facility | 125 Sw C Street, Madras, OR 97741 | 2008-11-24 |
| 1144417437 | Assisted Living Concepts Inc | Assisted Living Facility | 470 Ne Oak Street, Madras, OR 97741 | 2007-10-01 |
| 1518074327 | Janice K Monroe | Nurse Practitioner | 910 Sw Hwy 97, Suite 101, Madras, OR 97741 | 2006-08-25 |
| 1215966759 | Mark M Mullins | Chiropractor | 28 Ne 12th St, Madras, OR 97741 | 2006-06-30 |
| 1356389894 | St. Charles Health System, Inc. | Emergency Medicine | 470 Ne A Street, Madras, OR 97741 | 2006-06-04 |
| Find all providers in zip 97741 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232847 | Bailey Michelle Allen | Specialist/Technologist | 3521 Ne 154th Ave, Portland, OR 97230-4677 | 2020-07-08 |
| 1699394585 | Jennifer Elizabeth O'sullivan | Specialist/Technologist | 1369 Monmouth St, Independence, OR 97351-1126 | 2020-04-10 |
| 1134754633 | Zoey Louise Dahme | Specialist/Technologist | 9635 Sw 74th Ave, Tigard, OR 97223-9137 | 2020-03-05 |
| 1568097061 | Rob Gersky | Specialist/Technologist | 2712 Se 170th Ave, Portland, OR 97236-1215 | 2020-03-05 |
| 1891329884 | Johanna Claire Wilson | Specialist/Technologist | 222 Se 8th Ave # Hpc2, Hillsboro, OR 97123-4218 | 2020-02-27 |
| 1861025454 | Riley Elaine Beagle | Specialist/Technologist | 285 Nw Baltimore, Heppner, OR 97836 | 2020-02-21 |
| 1225661754 | Mikayla Jeppsen | Specialist/Technologist | 470 Michael Way, Aumsville, OR 97325-8930 | 2020-02-12 |
| 1386276061 | Lesley Castillo | Specialist/Technologist | 10384 Ne Evergreen Pkwy Apt 31, Hillsboro, OR 97124-7857 | 2020-02-10 |
| 1922630037 | Vanessa A Guerrero | Specialist/Technologist | 2219 Se 68th Ave # 410, Portland, OR 97215-4026 | 2020-02-06 |
| 1326670548 | Colin Michael Szabo Mulligan | Specialist/Technologist | 236 Kerr Administration Bldg, Corvallis, OR 97331-8578 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
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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.