KINNIDI PORTER


Address: 4904 Crystal Field St, North Las Vegas, NV 89031-7253
Phone: 7024016298

KINNIDI PORTER (NPI# 1851857999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851857999
Entity Type Individual
Full Name KINNIDI PORTER
Practice Address 4904 Crystal Field St
North Las Vegas
NV 89031-7253
Practice Telephone 7024016298
Enumeration Date 2019-02-13
Last Update Date 2019-02-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 4904 CRYSTAL FIELD ST
City NORTH LAS VEGAS
State NV
Zip Code 89031-7253

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NPI Name Taxonomy Address Enumeration
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1558924134 Jamie Esprecion Driver 3007 Extravagant Ave, North Las Vegas, NV 89031 2019-04-18
1831652387 Assured Medical Supply, Inc. Durable Medical Equipment & Medical Supplies 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 2019-04-11
1265928550 Geraldine Alford Chore Provider 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 2018-07-10
1861999468 Danielle Anderson Counselor 4528 West Craig Suite 150, Las Vegas, NV 89031 2018-04-10
1871094078 Ethel Richardson Chore Provider 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 2018-02-22
1124547997 Crystal Dorin Mcdowell Counselor 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 2017-09-13
1699293308 Mitzi Darnell Adeyemi Counselor 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 2017-09-01
1831629500 Emily Davis Case Manager/Care Coordinator 1926 La Villa Dr, North Las Vegas, NV 89031 2017-06-15
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861093072 Nakia T Newson Technician 3033 Little Crimson Ave, North Las Vegas, NV 89081-6584 2020-11-04
1972101673 Yamileth Abicely Flores Molina Technician 4422 Scarlet Sea Ave, North Las Vegas, NV 89031-0454 2020-10-14
1942807714 Mark Dela Vega Technician 2913 Vigilante Ct, North Las Vegas, NV 89081-6401 2020-10-05
1780295410 Shanethia Mcneal Technician 5210 Rock Cabin Ct, North Las Vegas, NV 89031-3422 2020-08-14
1023629532 Christopher Farley Technician 2212 Dale Bumpers Ct, North Las Vegas, NV 89081-2679 2020-08-10
1407466279 Sylvia Ruacho Technician 2720 Holmes St, North Las Vegas, NV 89030-5428 2020-08-05
1255941274 Marissa Elizabeth Nunez Technician 2105 Broken Twig Ct, North Las Vegas, NV 89032-0704 2020-08-04
1417567801 Daniela Mendiola Technician 414 Violetta Ave, North Las Vegas, NV 89031-1785 2020-07-31
1548879265 Jodi Knecht Technician 3216 Stanley Ave, North Las Vegas, NV 89030-7230 2020-07-28
1770101834 Generson Cruz Manubay Technician 6916 Fox Sparrow Ct, North Las Vegas, NV 89084-2072 2020-07-06
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Competitor

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City NORTH LAS VEGAS
Zip Code 89031

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Dataset Information

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.

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