Active NPI
Christie Porter, RN
- Registered Nurse
- Athens, AL
National Provider Identifier
1053855049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1-125677
- Practice address
- 1307 E Elm St
Athens, AL 35611-5318 - Phone
- (256) 232-3661
- Fax
- (256) 341-0747
- NPI assigned
- Dec 9, 2016
- Last updated
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-125677 | AL | Primary |
Addresses
Primary practice location
1307 E Elm St
Athens, AL 35611-5318
Mailing address
1316 Somerville Rd SE
Suite 1
Decatur, AL 35601-4305
Phone (256) 260-7361
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51189303 | Other | AL | BLUE CROSS BLUE SHIELD |
| 51189304 | Other | AL | BLUE CROSS BLUE SHIELD |
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-125677 | AL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of North Central Alabama Inc. | Past | Accepting new patients | |
| Mental Health Center of North Central Alabama | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1780859314
-
- Community/Behavioral Health Agency
- Decatur, AL
- NPI 1124193636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1053855049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1316 SOMERVILLE RD SE",
"address_2": "SUITE 1",
"city": "DECATUR",
"state": "AL",
"postal_code": "356014305",
"telephone_number": "256-260-7361",
"fax_number": "256-341-0747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 E ELM ST",
"city": "ATHENS",
"state": "AL",
"postal_code": "356115318",
"telephone_number": "256-232-3661",
"fax_number": "256-341-0747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CHRISTIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-09",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-125677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51189303",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51189304",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.