Kelli Rebecca Porter, W.H.N.P. - B.C.

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

NCC ID# JON104317267 Issued in LA

Practice address

5656 Bee Caves Rd Ste B101
West Lake Hills, TX 78746

Phone

(512) 301-6767

Fax

(512) 301-6776

NPI assigned

Jul 28, 2005

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

Other identifiers 7

Other names 1

• Ms. Kelli Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJCAAA/Endpoint/DJCAAA

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.

• Lisa M. Jukes, MD, PA

  • Gynecology Physician
  • West Lake Hills, TX
  • NPI 1073739090
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205836624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE B101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787465281",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVES RD STE B101",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "78746",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "627 Bienville Cir",
            "address_purpose": "LOCATION",
            "city": "Natchitoches",
            "state": "LA",
            "postal_code": "714575744",
            "country_code": "US",
            "telephone_number": "318-352-9595",
            "fax_number": "318-352-9818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5656 Bee Caves Rd Ste B101",
            "address_purpose": "LOCATION",
            "city": "West Lake Hills",
            "state": "TX",
            "postal_code": "78746",
            "country_code": "US",
            "telephone_number": "512-301-6767",
            "fax_number": "512-301-6776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KELLI",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "W.H.N.P. - B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "LA",
            "license": "NCC ID# JON104317267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WH NURSE PRACTIONER LICEN",
            "identifier": "RN157053",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529885",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE AUTHORITY#",
            "identifier": "80052",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P01155808",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD OF NURSING - ADVANCED PRACTICE REGISTERED NURSE",
            "identifier": "AP04630",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS LICENSE",
            "identifier": "36958",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUPT#",
            "identifier": "5H631DF29",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "JONES",
            "prefix": "MS.",
            "credential": "W.H.N.P. - B.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Leticia Pinkard, LPC
• Richard J. Pitts, PSY.D.
• Candice Pogge, BCBA
• Geetha Pokala
• Robina N Poonawala, M.D.
• Robert James Postlewait, MD
• Nancy Pounds
• Sarita H Prajapati, MD
• Yogini Prajapati, MD
• Presence Wellness

• Women's Health Clinical Nurse Specialist in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Women's Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.