Stephanie a Porter

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L3841 Issued in TX

Legal business name

STEPHANIE A PORTER

Practice address

149 Hart St
Sheppard AFB, TX 76311-3477

Phone

(940) 676-6777

Fax

(940) 676-2706

NPI assigned

Jan 17, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephanie Ann Porter, M.D.

Title

Pediatrician

Phone

(940) 676-6777

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063492163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-642-6231",
            "fax_number": "940-676-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 HART ST",
            "city": "SHEPPARD AFB",
            "state": "TX",
            "postal_code": "763113477",
            "telephone_number": "940-676-6777",
            "fax_number": "940-676-2706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE A PORTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "940-676-6777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS - TX",
            "identifier": "60135092",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Paul Shepard, M.S.P.T., DSCPT
• Daniel Shimanski, IDMT
• Heather L Silvio, PSYD
• Navdeep Singh
• Rita Sircar-Valdez, D.P.T.
• Ryan Matthew Stitt
• Erich Lofton Swafford, MD
• Christopher M Thibodeaux, PTA
• Angela Louise Thompson, RN
• Jeffrey Scott Thompson, D.D.S.

• Pediatrics Physician in Sheppard AFB, TX
• Providers in Sheppard AFB, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.