Ivy Michelle Porter, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008321 Issued in GA

Practice address

935 Marietta St NW Apt 417
Atlanta, GA 30318-0534

Phone

(470) 219-1561

NPI assigned

Sep 18, 2013

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1063848455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MARIETTA ST NW APT 417",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180534",
            "telephone_number": "470-219-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MARIETTA ST NW APT 417",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303180534",
            "telephone_number": "470-219-1561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4319 Convington Hwy",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "30035",
            "country_code": "US",
            "telephone_number": "404-289-2074",
            "fax_number": "888-273-8628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "IVY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy A Porter, NP
• Candra Natosha Porter, LCSW
• Emily Murrow Porter, PA
• Emon Porter
• Erin James Porter, NP
• Jeffrey Lynn Porter, MA,ATC,LAT
• Jerry D Porter, MD
• Johnnie B. Porter, M. DIV., M.A.C.M.
• Kacey Porter
• Keilana Porter

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.