Individual provider Active NPI

Clorissa Hope Porter, LPN

  • Licensed Practical Nurse
  • Milton, WV
National Provider Identifier
1225876592
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
40961 Issued in WV
Practice address
1707 US Route 60 W
Milton, WV 25541-1112
Phone
(304) 743-8160
NPI assigned
Jul 19, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 40961 WV Primary

Addresses

Primary practice location

1707 US Route 60 W
Milton, WV 25541-1112

Mailing address

1707 US Route 60 W
Milton, WV 25541-1112
Phone (304) 743-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
40961WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Unlimited Possabilities, Inc. CurrentSince Jul 21, 2024 Accepting new patients

Locations

1707 US Route 60 W
Milton, WV 25541
Phone (304) 654-8370

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": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1225876592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 US ROUTE 60 W",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411112",
            "telephone_number": "304-743-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 US ROUTE 60 W",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411112",
            "telephone_number": "304-743-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CLORISSA",
        "middle_name": "HOPE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "40961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.