Cortreana Mayo Porter, PDW

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

101 41St St NE Apt 101
Washington, DC 20019-3325

Phone

(202) 909-5964

NPI assigned

Oct 23, 2023

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 23, 2023.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1114799327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 41ST ST NE APT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193325",
            "telephone_number": "202-909-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 41ST ST NE APT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200193325",
            "telephone_number": "202-909-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO PORTER",
        "first_name": "CORTREANA",
        "credential": "PDW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam T. Maynard
• Heather Maynard
• Sheila Maynard
• Pia Lashon Maynor
• Emerencia Mayo Epouse Tazoh, HOME AID
• Ailena D. Mayo-Mills, NP
• Jacqueline Mayo
• Jasmine Mayo
• Marietta E Mayo
• Matthew Ryan Boyd Mayo, PA-C

• All providers in Washington, DC
• Other Technician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.