Porshia Lenee' Egerson, LMT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

6032 Clarita Ave
Centreville, IL 62207-1019

Phone

(618) 954-6676

NPI assigned

Jun 24, 2011

Last updated

Jun 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1063708345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 CLARITA AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622071019",
            "telephone_number": "618-954-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6032 CLARITA AVE",
            "city": "CENTREVILLE",
            "state": "IL",
            "postal_code": "622071019",
            "telephone_number": "618-954-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGERSON",
        "first_name": "PORSHIA",
        "middle_name": "LENEE'",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiarra Charles, LPC
• Children's Center for Behavioral Developement
• Emma C Clardy, DO
• Terrilyne Cole, MD, MBA
• Kalyani Gavini, M.D.
• Michelle Gaydenhopkins
• Vandana Gupta, D.D.S
• Ameanna Vusu Hamilton
• Roberta Johnson

• Student in an Organized Health Care Education/Training Program in Centreville, IL
• Providers in Centreville, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; 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.