Individual provider Active NPI

Elizabeth Porio, RN, BSN

  • Registered Nurse
  • San Mateo, CA
National Provider Identifier
1053720623
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1034897 Issued in TX
Practice address
1700 S Amphlett Blvd Ste 221
San Mateo, CA 94402-2727
Phone
(925) 412-3425
NPI assigned
Aug 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1034897 TX Primary
Lactation Consultant (Registered Nurse) 163WL0100X RN2274480 MA

Addresses

Primary practice location

1700 S Amphlett Blvd Ste 221
San Mateo, CA 94402-2727

Mailing address

1700 S Amphlett Blvd Ste 221
San Mateo, CA 94402-2727
Phone (925) 412-3425

Other names 1

  • Elizabeth Reinke Former name

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)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1034897TXMDRegistered Nurse
RN2274480MAMDLactation Consultant (Registered Nurse)

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1053720623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 221",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022727",
            "telephone_number": "925-412-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S AMPHLETT BLVD STE 221",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022727",
            "telephone_number": "925-412-3425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORIO",
        "first_name": "ELIZABETH",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1034897",
            "primary": true
        },
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "MA",
            "license": "RN2274480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "REINKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.