Kimberly Porter, CNM, WHNP-BC

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704246721 Issued in MI

Practice address

1005 W Green St Ste 301
Hastings, MI 49058-1729

Phone

(269) 945-8080

NPI assigned

Jun 9, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Planned Parenthood of Michigan

  • Ambulatory Family Planning Facility
  • Ann Arbor, MI
  • NPI 1366525370
  NPD (past)
• Planned Parenthood of West & Northern Michigan, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Petoskey, MI
  • NPI 1699886218
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1003297664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-258-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W GREEN ST STE 301",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581729",
            "telephone_number": "269-945-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KIMBERLY",
        "credential": "CNM, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704246721",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704246721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Carl Peurach, DDS
• Pine Rest Christian Mental Health Services
• Corinthia Hoff Pinks, NP
• Chelsey Marie Pinto, PA-C
• Amy Poholski, DO
• Dikshita Poudel, MD
• Nilesh Maraj Prashad, MD
• Jacob Pratt, LLBSW
• Prevos Family Markets LLC
• Purucker Counseling Services PLLC

• Advanced Practice Midwife in Hastings, MI
• Providers in Hastings, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.