Individual provider Active NPI

Katherine Ann Porter, RPH

  • Ambulatory Care Pharmacist
  • Overland Park, KS
National Provider Identifier
1083376867
Registry record updated Oct 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
1-14145 Issued in KS
Practice address
15520 Howe St
Overland Park, KS 66224-3897
Phone
(913) 982-6348
NPI assigned
Oct 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 1-14145 KS
Pharmacist 183500000X 2006028518 MO
Ambulatory Care Pharmacist 1835P2201X 2006028518 MO
Ambulatory Care Pharmacist 1835P2201X 1-14145 KS Primary

Addresses

Primary practice location

15520 Howe St
Overland Park, KS 66224-3897

Mailing address

15520 Howe St
Overland Park, KS 66224-3897
Phone (913) 982-6348

Other identifiers 3

IdentifierTypeStateIssuer
RP-032172-LOtherPAPENNSYLVANIA PHARMACIST LICENSE
1-14145OtherKSKANSAS PHARMACIST LICENSE
2006028518OtherMOMISSOURI PHARMACIST LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL porter.katherinea@gmail.com Direct

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 Pharmacist

State licenses

LicenseStateTypeSpecialty
1-14145KSMDAmbulatory Care Pharmacist
2006028518MOMDAmbulatory Care Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1633737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1083376867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15520 HOWE ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662243897",
            "telephone_number": "913-982-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15520 HOWE ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662243897",
            "telephone_number": "913-982-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-09",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-14145",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2006028518",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "MO",
            "license": "2006028518",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "KS",
            "license": "1-14145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA PHARMACIST LICENSE",
            "identifier": "RP-032172-L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS PHARMACIST LICENSE",
            "identifier": "1-14145",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI PHARMACIST LICENSE",
            "identifier": "2006028518",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "porter.katherinea@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Senior Care Consulting Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15520 Howe St",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662243897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.