Active NPI
Teresa A Porter, LPN
- Licensed Practical Nurse
- Woodward, OK
National Provider Identifier
1093989246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 47613
- Practice address
- 1222 10TH Street, Suite 211
Northwest Center for Behavioral Health
Woodward, OK 73801-3156 - Phone
- (580) 256-8615
- Fax
- (580) 256-8643
- NPI assigned
- Apr 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 47613 | OK | Primary |
Addresses
Primary practice location
1222 10TH Street, Suite 211
Northwest Center for Behavioral Health
Woodward, OK 73801-3156
Mailing address
1222 10TH Street, Suite 211
Northwest Center for Behavioral Health
Woodward, OK 73801-3156
Phone (580) 256-8615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47613 | OK | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208476800000",
"number": "1093989246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 10TH STREET, SUITE 211",
"address_2": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738013156",
"telephone_number": "580-256-8615",
"fax_number": "580-256-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 10TH STREET, SUITE 211",
"address_2": "NORTHWEST CENTER FOR BEHAVIORAL HEALTH",
"city": "WOODWARD",
"state": "OK",
"postal_code": "738013156",
"telephone_number": "580-256-8615",
"fax_number": "580-256-8643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "TERESA",
"middle_name": "A",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-18",
"last_updated": "2008-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OK",
"license": "47613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.