Individual provider Active NPI

Renate Porsche, NP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1114145273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300856 Issued in NY
Practice address
1870 Winton Rd S
BLDG 4, Suite 1
Rochester, NY 14618-3916
Phone
(585) 473-0495
Fax
(585) 442-0750
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F300856 NY Primary

Addresses

Primary practice location

1870 Winton Rd S
BLDG 4, Suite 1
Rochester, NY 14618-3916

Mailing address

1870 Winton Rd S
BLDG 4, Suite 1
Rochester, NY 14618-3916
Phone (585) 473-0495

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F300856NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114145273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 WINTON RD S",
            "address_2": "BLDG 4, SUITE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183916",
            "telephone_number": "585-473-0495",
            "fax_number": "585-442-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 WINTON RD S",
            "address_2": "BLDG 4, SUITE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183916",
            "telephone_number": "585-473-0495",
            "fax_number": "585-442-0750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORSCHE",
        "first_name": "RENATE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.