Pornson P Linton, ANP (FNP)
Individual provider Active NPI Family Nurse Practitioner · Haines, AK
NPI 1104017755 · NPPES record last updated Jan 31, 2008
Key facts
- NPI
- 1104017755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 870 (AK)
- Practice address
- 1549 Second St.
Haines, AK 99827-0314 - Phone
- (907) 766-6374
- Fax
- (907) 766-3643
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050714001019 | TX | Practitioner - Nurse Practitioner | 1052347879 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
Locations
37 Chilkat Ave
Haines, AK 99827
Phone (907) 463-4040
3100 Channel Dr
Ste 300
Juneau, AK 99801
Phone (907) 463-4000
222 Tongass Dr
Sitka, AK 99835
Phone (907) 966-8423
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 870 | AK | Yes |
Addresses
Primary practice location
1549 Second St.
Haines, AK 99827-0314
Mailing address
1549 Second St.
Haines, AK 99827-0314
Phone (907) 766-6374
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP8606 | Medicaid | AK |
Other names
- Ms. Pornson Peausuparn
Other providers in Haines, AK
- Linda Ann Keirstead
- Kayley Kiehn
- Klondike Chiropractic LLC
- Kathy Maria Lahr
- Rebecca Ann Leslie
- Summer Michele Lynch
- Teolani Rose Lynch
- Lynn Canal Human Resources, Inc.
- Rebecca Sue Malone
- Elizabeth Marantz
All providers in Haines, AK · Family Nurse Practitioner in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.