Rebecca Sue Porter

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1350 US Highway 62 W
Princeton, KY 42445-6106

Phone

(270) 365-2008

Fax

(270) 365-2009

NPI assigned

Nov 13, 2017

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifeskills, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Hopkinsville, KY
  • NPI 1346321643
  NPD (past)
• Lifeskills, Inc.

  • Community/Behavioral Health Agency
  • Bowling Green, KY
  • NPI 1669401816
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2018.

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1144733197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410614",
            "telephone_number": "270-886-2205",
            "fax_number": "270-886-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 US HIGHWAY 62 W",
            "city": "PRINCETON",
            "state": "KY",
            "postal_code": "424456106",
            "telephone_number": "270-365-2008",
            "fax_number": "270-365-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pennyrile District Lhealth Department
• Pennyroyal Healthcare Services, Inc
• Perry Family Medical PLLC
• Sue Ellen Petty, MD
• Shanna Phillips, P.T.
• Primaricare, PLLC
• Princeton Family Care, PLLC
• Princeton Health & Rehab Center, Inc.
• Princeton Ky Opco LLC
• Princeton Opco LLC

• All providers in Princeton, KY
• Case Manager/Care Coordinator in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.