JESSICA PORTER (NPI# 1790307692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790307692 |
| Entity Type | Individual |
| Full Name | JESSICA PORTER |
| Practice Address |
1601 E 4th Plain Blvd Vancouver WA 98661-3713 |
| Mailing Address |
600 Se 177th Ave Unit H80 Vancouver WA 98683-1878 |
| Practice Telephone | 3603978246 |
| Mailing Telephone | 5015459038 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972123974 | Jessica Erin Porter | Registered Nurse | 3 Linda Ct, Longview, TX 75601-6060 | 2020-04-20 |
| 1730711359 | Jessica Danielle Porter | Case Manager/Care Coordinator | 421 W Airline Hwy Ste F, La Place, LA 70068-3820 | 2020-02-11 |
| 1538645338 | Jessica Nicole Porter | Adult Companion | 1345 Cross Creek Cir, Tallahassee, FL 32301-3729 | 2018-07-14 |
| 1619410800 | Jessica Porter | Registered Nurse | 8415 County Road 65, Foley, AL 36535-5005 | 2016-11-21 |
| 1629456611 | Jessica R Porter | Occupational Therapist | 193 Belle Valley Dr, Nashville, TN 37209-5151 | 2015-05-11 |
| 1083956163 | Jessica Amelia Porter | Internal Medicine | 724 Cresta Cir, West Palm Beach, FL 33413-1082 | 2013-03-26 |
| 1730420514 | Jessica Anne Ciarloni Porter | Marriage & Family Therapist | 602 Commerce Ave Ste E, Palmdale, CA 93551-3882 | 2013-03-05 |
| 1639304827 | Jessica Ann Porter | Counselor | 6011b Trotwood Avenue, Columbia, TN 38401 | 2009-05-18 |
| 1942822234 | Jessica C Porter | Registered Nurse | 59 Bangor St, Houlton, ME 04730-1740 | 2020-05-11 |
| 1154888303 | Jessica Porter | Counselor | 1547 Parkway, Greenwood, SC 29646-4081 | 2019-02-25 |
| Street Address |
1601 E 4TH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-3713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215922083 | Margaret A Vajdos | Internal Medicine | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3753 | 2005-09-16 |
| 1316546179 | Patricia Anne O'brien | Psychologist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-22 |
| 1508464546 | Julia Houle-mccabe | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-10-12 |
| 1346850831 | Llonnelyn Josue | Counselor | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-08-09 |
| 1417566399 | Edwina Laverne Lyon | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-28 |
| 1770192916 | Leanne D Nething | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-23 |
| 1629686092 | Courtney Leigh Geier | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-21 |
| 1033736285 | Trevor C Miller | Recreation Therapist | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1265059430 | Zaharah Adam | Case Manager/Care Coordinator | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-07-02 |
| 1942827704 | Kelly Renee Braswell | Licensed Practical Nurse | 1601 E 4th Plain Blvd, Vancouver, WA 98661-3713 | 2020-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316551989 | Nicole Buckner | Case Manager/Care Coordinator | 1601 E Fourth Plain Blvd Bldg 5, Vancouver, WA 98661-3717 | 2020-09-01 |
| 1568016475 | Lauren Edelstein | Case Manager/Care Coordinator | 100 E 33rd St Ste 201a, Vancouver, WA 98663-2776 | 2019-07-29 |
| 1558823534 | Tamara Bernal Aguilar | Case Manager/Care Coordinator | 13300 Ne 44th St, Vancouver, WA 98682-6909 | 2019-04-01 |
| 1922569409 | Ignacia Alex Gordon | Case Manager/Care Coordinator | 11801 Ne 65th St # A, Vancouver, WA 98662-5527 | 2019-03-27 |
| 1366927428 | Emma Martinez | Case Manager/Care Coordinator | 100 E 33rd St Ste 201b, Vancouver, WA 98663-2776 | 2018-09-25 |
| 1710407143 | Christie Lee Chapin | Case Manager/Care Coordinator | 1601 E Mcloughlin Blvd, Vancouver, WA 98663-3528 | 2017-06-27 |
| 1154873511 | Mariya Grizhinku | Case Manager/Care Coordinator | 7709 Ne 140th Ave, Vancouver, WA 98682-1304 | 2016-11-01 |
| 1194277038 | Tiana Annalice Stroup | Case Manager/Care Coordinator | 11818 Se Mill Plain Blvd Ste 307, Vancouver, WA 98684-7017 | 2016-10-26 |
| 1174071997 | Paris Quincy-jamal Heart-hester | Case Manager/Care Coordinator | 1701 Broadway St # 212, Vancouver, WA 98663-3436 | 2016-09-21 |
| 1659709343 | Daniela Vese | Case Manager/Care Coordinator | 12909 Se Laver St, Vancouver, WA 98683-6335 | 2013-10-16 |
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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.