Lakendra Porter, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21590 Issued in TN

Practice address

5450 Highway 153 Ste 126
Hixson, TN 37343-3791

Phone

(865) 201-7035

Fax

(865) 761-2726

NPI assigned

Nov 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Forefront-Matteson Medical Services PCGroup PAC ID 8527473693, 12 clinicians

Garner Behavioral Hospital LLCGroup PAC ID 4981072238, 23 clinicians

Volunteer Behavioral Health Care SystemGroup PAC ID 3678485802, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

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.

• Volunteer Behavioral Health Care System

  • Counselor
  • Murfreesboro, TN
  • NPI 1043267107
  Medicare reassignment Care Compare group NPD
• Forefront-Matteson Medical Services PC

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1659982551

  NC

  Medicare reassignment Care Compare group NPD
• Garner Behavioral Hospital, LLC

  • Adult Mental Health Clinic/Center
  • Garner, NC
  • NPI 1548049679
  Medicare reassignment Care Compare group NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  NC

  Medicare reassignment NPD
• Forefront-Rosenzweig Medical Services Professional Corporation

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1588101745

  TN

  Medicare reassignment NPD
• Dignified Healthcare

  • Nurse Practitioner
  • Hixson, TN
  • NPI 1124747605
  NPD

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1174075360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 HIGHWAY 153 STE 126",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433791",
            "telephone_number": "865-201-7035",
            "fax_number": "865-761-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 HIGHWAY 153 STE 126",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433791",
            "telephone_number": "865-201-7035",
            "fax_number": "865-761-2726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2023 Clay St",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379174108",
            "country_code": "US",
            "telephone_number": "865-201-7035",
            "fax_number": "865-761-2726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LAKENDRA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pink Skies Wellness
• Christina Marie Pish, O.D.
• Courtney Pittman, OCCUPATION THERAPIST
• Jesse Steven Pollom, DDS
• Brian Porbansky, PT, DPT
• Jeffrey Charles Poteralski
• Donna Jeanne Prelog, CNM
• Premier Family Dental
• Alexa Grace Prince
• Ashley Elizabeth Prosser, DPT

• Family Nurse Practitioner in Hixson, TN
• Providers in Hixson, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.