Active NPI
Pornson P Linton, ANP (FNP)
- Family Nurse Practitioner
- Haines, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 870
- Practice address
- 1549 Second St.
Haines, AK 99827-0314 - Phone
- (907) 766-6374
- Fax
- (907) 766-3643
- NPI assigned
- Aug 8, 2007
- Last updated
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 870 | AK | Primary |
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 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP8606 | Medicaid | AK |
Other names 1
- Ms. Pornson Peausuparn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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) 966-8519
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thorne Bay Health Clinic
- Clinic/Center
- Thorne Bay, AK
- NPI 1376758037
TX
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
-
- Clinic/Center
- Platinum, AK
- NPI 1285796870
-
- Clinic/Center
- Levelock, AK
- NPI 1366502767
-
- Clinic/Center
- South Naknek, AK
- NPI 1417018193
-
- Clinic/Center
- Twin Hills, AK
- NPI 1487716825
-
- Clinic/Center
- Perryville, AK
- NPI 1528128782
-
- Clinic/Center
- Chignik Lagoon, AK
- NPI 1578623641
-
- Clinic/Center
- Egegik, AK
- NPI 1699836007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1104017755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1549 SECOND ST.",
"city": "HAINES",
"state": "AK",
"postal_code": "998270314",
"telephone_number": "907-766-6374",
"fax_number": "907-766-3643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1549 SECOND ST.",
"city": "HAINES",
"state": "AK",
"postal_code": "998270314",
"telephone_number": "907-766-6374",
"fax_number": "907-766-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINTON",
"first_name": "PORNSON",
"middle_name": "P",
"name_prefix": "Mrs.",
"credential": "ANP (FNP)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AK",
"license": "870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP8606",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PORNSON",
"last_name": "PEAUSUPARN",
"prefix": "MS.",
"credential": "ANP (FNP)",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Haines, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.