Active NPI
People of Color Against AIDS Network
- Family Nurse Practitioner
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- PEOPLE OF COLOR AGAINST AIDS NETWORK
- Practice address
- 1010 S 336TH St Ste 330
Federal Way, WA 98003-7354 - Phone
- (206) 653-9353
- Fax
- (206) 934-1515
- NPI assigned
- Feb 15, 2024
- Last updated
- May 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris L Porter
- Title
- Healthcare Manager
- Phone
- (206) 653-9353
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1010 S 336TH St Ste 330
Federal Way, WA 98003-7354
Mailing address
1010 S 336TH St Ste 330
Federal Way, WA 98003-7354
Phone (206) 653-9353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7408800 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | clporter11@mac.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1010 S 336th St
Ste 330
Federal Way, WA 98003
Phone (206) 653-9353
901 Rainier Ave N
Ste B203
Renton, WA 98057
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Burien, WA
- NPI 1801852090
-
- Family Nurse Practitioner
- Seattle, WA
- NPI 1306481338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1114782414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 S 336TH ST STE 330",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037354",
"telephone_number": "206-653-9353",
"fax_number": "206-934-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S 336TH ST STE 330",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980037354",
"telephone_number": "206-653-9353",
"fax_number": "206-934-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEOPLE OF COLOR AGAINST AIDS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-15",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "HEALTHCARE MANAGER",
"authorized_official_telephone_number": "206-653-9353",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7408800",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "clporter11@mac.com",
"affiliation": "N",
"endpointDescription": "company computer assigned to me",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1010 S 336th St Ste 330",
"city": "Federal Way",
"state": "WA",
"country_code": "US",
"postal_code": "980037354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.