Individual provider Active NPI

Marguerite Raffio Poreda, MD

  • Psychiatry Physician
  • Naples, FL
National Provider Identifier
1053305193
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME84634 Issued in FL
Practice address
7703 Classics Drive
Naples, FL 34113-3345
Phone
(239) 234-5978
Fax
(781) 459-8187
NPI assigned
Sep 5, 2005
Last updated
Nov 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X ME84634 FL
Forensic Psychiatry Physician 2084F0202X 015074 LA
Forensic Psychiatry Physician 2084F0202X 46680 MA
Psychiatry Physician 2084P0800X 46680 MA
Psychiatry Physician 2084P0800X 015074 LA
Psychiatry Physician 2084P0800X ME84634 FL Primary
Geriatric Psychiatry Physician 2084P0805X 015074 LA
Geriatric Psychiatry Physician 2084P0805X ME84634 FL
Geriatric Psychiatry Physician 2084P0805X 46680 MA
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X 015074 LA
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X ME84634 FL
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician 2084H0002X 46680 MA

Addresses

Primary practice location

7703 Classics Drive
Naples, FL 34113-3345

Mailing address

7703 Classics Drive
Naples, FL 34113-3345
Phone (239) 234-5978

Other identifiers 2

IdentifierTypeStateIssuer
265073800MedicaidFL
51532OtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME84634FLMDForensic Psychiatry Physician
46680MAMDPsychiatry Physician
015074LAMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Parish Human Services Authority PastSince Feb 24, 2022 Accepting new patients
Jefferson Parish Human Services Authority PastSince Jul 24, 2022 Accepting new patients
University Medical Service Association Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1125878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1053305193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 CLASSICS DRIVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341133345",
            "telephone_number": "239-234-5978",
            "fax_number": "781-459-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 CLASSICS DRIVE",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341133345",
            "telephone_number": "239-234-5978",
            "fax_number": "781-459-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POREDA",
        "first_name": "MARGUERITE",
        "middle_name": "RAFFIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-05",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME84634",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "LA",
            "license": "015074",
            "primary": false
        },
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "MA",
            "license": "46680",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "46680",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "015074",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME84634",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "LA",
            "license": "015074",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "FL",
            "license": "ME84634",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "MA",
            "license": "46680",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "LA",
            "license": "015074",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME84634",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "MA",
            "license": "46680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265073800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51532",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.