CAROLYN J. PORTER (NPI# 1962573477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962573477 |
| Entity Type | Individual |
| Full Name | CAROLYN J. PORTER |
| Credential | F.N.P. |
| Practice Address |
1035 1st Ave West Flathead Community Health Center Kalispell MT 59901-5607 |
| Practice Telephone | 4067518155 |
| Practice Fax Number | 4067518151 |
| Mailing Telephone | 4067518155 |
| Mailing Fax Number | 4067518151 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2012-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
R128490 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295238285 | Carolyn Porter | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2018-03-15 |
| 1487059135 | Carolyn Porter | Licensed Practical Nurse | 159 S 11th Ave, Mount Vernon, NY 10550-2928 | 2014-10-23 |
| Street Address |
1035 1ST AVE WEST FLATHEAD COMMUNITY HEALTH CENTER |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457323719 | Kenneth A Madsen Jr. | Dentist | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-02-02 |
| 1225169030 | Sheila Ann Shapiro | Nurse Practitioner | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2007-03-07 |
| 1487663423 | John H Tremper | Family Medicine | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-08-07 |
| 1053357228 | Paul R Reeb | Family Medicine | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-06-22 |
| 1700830619 | Jennie J. Carson | Dentist | 1035 1st Ave West, Flathead Community Health Center, Kalispell, MT 59901-5607 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811085517 | Janice Hausauer | Nurse Practitioner | 165 Bluebird Drive, Bozeman, MT 59718 | 2006-10-10 |
| 1154951192 | Stacey Lynne Johnson | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-01-17 |
| 1750911962 | Heather Lynn Smith | Nurse Practitioner | 601 1st Ave N, Great Falls, MT 59401-2510 | 2020-01-16 |
| 1659324226 | Anine Mccallum | Nurse Practitioner | 2600 Wilson St, Miles City, MT 59301-5094 | 2006-05-18 |
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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.