Active NPI
Tanya Melonie Litchmore-Porter, NP
- Adult Health Nurse Practitioner
- Greensboro, NC
National Provider Identifier
1184495632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 298955
- Practice address
- 124 E Gate City Blvd
Greensboro, NC 27406-1457 - Phone
- (336) 334-5000
- NPI assigned
- Jan 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 298955 | NC | Primary |
Addresses
Primary practice location
124 E Gate City Blvd
Greensboro, NC 27406-1457
Mailing address
124 E Gate City Blvd
Greensboro, NC 27406-1457
Phone (336) 334-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 298955 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1184495632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 E GATE CITY BLVD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274061457",
"telephone_number": "336-334-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 E GATE CITY BLVD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274061457",
"telephone_number": "336-334-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITCHMORE-PORTER",
"first_name": "TANYA",
"middle_name": "MELONIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-12",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "298955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Liringis Chiropractic Clinic, PA
- Lisa Flores, LCSW, P.a.
- Lisa Jo Adornetto
- Lissenden Chiropractic Center, PC ('Alternative Health Clinic' and 'SportsMED')
- Mary D Litchford, PHD, RDN, LDN
- Little Seed Counseling, PLLC.
- Little Seedlings, Inc.
- Little Willow Health LLC
- Alfred Boyd Little, MD FACC
- Asya M Little, MA, LCMHCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.