MR. DERRICK ALLEN PORTER (NPI# 1760406938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760406938 |
| Entity Type | Individual |
| Full Name | MR. DERRICK ALLEN PORTER |
| Practice Address |
20188 W Vanzant Rd Springdale AR 72764-8978 |
| Practice Telephone | 4792631804 |
| Mailing Telephone | 4792631804 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
60593 | AR | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MCO13589 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1962808824 | Derrick Porter | Specialist/Technologist, Other | 3101 S Gulley Rd, Ste F, Dearborn, MI 48124-4406 | 2014-11-05 |
| 1245517341 | Derrick Allen Porter | Social Worker | 1441 E 84th Pl, Merrillville, IN 46410-6451 | 2011-11-03 |
| Street Address |
20188 W VANZANT RD |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-8978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437438736 | Trent Allen Porter | Technician | 20188 W Vanzant Rd, Springdale, AR 72764-8978 | 2011-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| 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 |
|---|---|---|---|---|
| 1528563368 | Mary Ekoko | Technician | 3803 Asquith Ct, Springdale, MD 20774-5452 | 2018-03-26 |
| 1285143644 | Carmalita Thomas | Technician | 8906 Ardwick Ardmore Rd, Springdale, MD 20774-2493 | 2017-09-28 |
| 1437438736 | Trent Allen Porter | Technician | 20188 W Vanzant Rd, Springdale, AR 72764-8978 | 2011-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922540 | Home Health Care Agency of Arkansas, LLC | Technician | 1200 John Barrow Rd Ste 111, Little Rock, AR 72205-6528 | 2020-11-03 |
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| 1184259210 | Little Joe Scott | Technician | 2702 Amhurst, Magnolia, AR 71753-4216 | 2020-03-09 |
| 1598303968 | Brandon Lee Hutchison | Technician | 152 Birchwood Cir, Cabot, AR 72023-2585 | 2019-12-17 |
| 1417599788 | E & D Private Care Agency | Technician | 3051 Waverly Rd, Proctor, AR 72376 | 2019-10-08 |
| 1275184749 | Home Care Network LLC | Technician | 2607 W 28th Ave, Pine Bluff, AR 71603-4916 | 2019-09-25 |
| 1720639347 | Always Promoting Independence Homecare, LLC | Technician | 1004 Brantley Ave, North Little Rock, AR 72117-2146 | 2019-09-25 |
| 1235784893 | Elite Care, LLC | Technician | 130 West 2nd St., Malvern, AR 72104-3708 | 2019-08-09 |
| 1245791094 | Kim Callicutt | Technician | 110 Block St, Marion, AR 72364-1956 | 2019-03-26 |
| 1912468711 | Eden House Home Care, LLC | Technician | 120 W Tyler Ave Ste 200, West Memphis, AR 72301-4221 | 2019-03-26 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on MR. DERRICK ALLEN 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.