Organization Active NPI

People of Color Against AIDS Network

  • Family Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1114782414
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mr. Chris L PorterNPI 1801852090
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7408800MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
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

Enrollment IDStateProvider typePAC IDDetails
O20251010002413 WA Part B Supplier - Clinic/Group Practice 2567969884 Receives reassigned benefits from 1 practitioner
Practice locations: Federal Way, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.