Ebony G Porter, LPN NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

172408 Issued in OH

Practice address

10324 Moonflower CT
Cincinnati, OH 45251-1105

Phone

(513) 370-6303

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ebony G Porter Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1194332304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 MOONFLOWER CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511105",
            "telephone_number": "513-370-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 MOONFLOWER CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511105",
            "telephone_number": "513-370-6303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8180 Corporate Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452423310",
            "country_code": "US",
            "telephone_number": "513-247-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "EBONY",
        "middle_name": "G",
        "credential": "LPN NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "172408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBONY",
            "last_name": "PORTER",
            "middle_name": "G",
            "credential": "LPN 172408",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea D Porter
• Chelsea Porter
• Cody Porter, CRNA
• Derrick Scott Porter, D.O
• Dwayne Porter
• Elizabeth Porter, MS
• Kai Porter
• Kalysa Renee Porter, M.D., M.P.H.
• Katherine Porter
• Kathy Porter

• Licensed Practical Nurse in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.