KATHLEEN P PORTER (NPI# 1891067989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891067989 |
| Entity Type | Individual |
| Full Name | KATHLEEN P PORTER |
| Credential | PNP |
| Practice Address |
3120 Erdman Ave Baltimore MD 21213-1720 |
| Mailing Address |
3501 Sinclair Ln Baltimore MD 21213-2029 |
| Practice Telephone | 4105584800 |
| Practice Fax Number | 4102767226 |
| Mailing Telephone | 4107328800 |
| Mailing Fax Number | 4105342392 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2015-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R187544 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 376751500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295943488 | Kathleen Susan Porter | Occupational Therapist | 9023 Saint Andrews Dr, Seminole, FL 33777-4521 | 2007-05-19 |
| 1093075541 | Kathleen J Porter | Pharmacist | 7325 W 79th St, Bridgeview, IL 60455 | 2012-05-17 |
| 1841272630 | Kathleen Porter | Pharmacist | 400 S 43rd St, Renton, WA 98055-5714 | 2005-11-16 |
| Street Address |
3120 ERDMAN AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21213-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375004 | Jimmie Julius Drummond Jr. | Family Medicine | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2005-06-13 |
| 1942718614 | Wayne Palmer | Psychiatry & Neurology | 3120 Erdman Ave, Baltimore, MD 21213 | 2018-01-16 |
| 1215304977 | Angeline Motari Mokaya | Nurse Practitioner | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2015-08-28 |
| 1306230081 | Amanda Crystal Hines | Social Worker | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2015-03-20 |
| 1700289535 | Rebecca A. Helem | Social Worker | 3120 Erdman Ave, Baltimore, MD 21213 | 2014-10-07 |
| 1992116685 | Anna C Lamasa | Nurse Practitioner | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2014-05-15 |
| 1871888289 | Karin Mirkin | Family Medicine | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2011-06-14 |
| 1720378383 | Naima Subira Spradley | Family Medicine | 3120 Erdman Ave, Baltimore, MD 21213-1202 | 2011-04-15 |
| 1073754461 | Baltimore Medical System Inc | Pharmacy | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2009-03-13 |
| 1225283005 | Roycott Denmore Mason | Physician Assistant | 3120 Erdman Ave, Baltimore, MD 21213-1720 | 2008-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1538627807 | Beverly V Whittaker-mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1700398914 | Ags Programs LLC | Clinic/Center | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
| 1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
| 1699205294 | Live & Let Live LLC | Counselor | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
| 1174052518 | Vel J Humbert | Counselor | 3549 Elmley Ave, Baltimore, MD 21213 | 2017-06-08 |
| 1134676620 | Larry Kirkland | Counselor | 3051 Sinclair Lane, Baltimore, MD 21213 | 2016-09-01 |
| 1093170862 | Renewed Minds Therapeutic Services LLC | Clinic/Center | 1515 E Biddle Street, Baltimore, MD 21213 | 2015-12-22 |
| 1073980827 | Family Therapy Services,llc | Counselor | 3238-40 Belair Road, 2nd Floor, Baltimore, MD 21213 | 2015-08-27 |
| Find all providers in zip 21213 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420282 | Mary Claire Perry | Nurse Practitioner | 737 W Lombard St Ste 314, Baltimore, MD 21201-1009 | 2020-09-03 |
| 1629563879 | Ashley C Sayles | Nurse Practitioner | 5601 Loch Raven Blvd Ste 200, Baltimore, MD 21239 | 2018-06-28 |
| 1396237673 | Kinderhealth, LLC | Nurse Practitioner | 10 W West St, Baltimore, MD 21230 | 2018-06-03 |
| 1306378120 | Teddi Roseman | Nurse Practitioner | 22 S Greene St Rm N5e16, Baltimore, MD 21201-1544 | 2017-03-30 |
| 1295280873 | Sarah Schlotterbeck Perl | Nurse Practitioner | 6711 Evanston Rd, Baltimore, MD 21209-3865 | 2016-08-24 |
| 1710333448 | Rachel Levy | Nurse Practitioner | 7010 Wallis Ave, Baltimore, MD 21215-1711 | 2016-05-12 |
| 1427425875 | Bernadette Russell | Nurse Practitioner | 1213 Harbor Island Walk, Baltimore, MD 21230-5461 | 2015-09-01 |
| 1750766879 | Laura Gertz | Nurse Practitioner | 1400 Orleans St, Baltimore, MD 21231-1021 | 2015-07-30 |
| 1336520402 | Clifton Peter Thornton | Nurse Practitioner | 1800 Orleans St Rm 11356, Baltimore, MD 21287-0010 | 2015-06-15 |
| 1295131332 | Erin Sherman | Nurse Practitioner | 306 Murdock Rd, Baltimore, MD 21212-1825 | 2014-11-18 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on KATHLEEN P 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.