Whitney Porter
Individual provider Active NPI Athletic Trainer · Buxton, ME
NPI 1235548009 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1235548009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT530 (ME)
- Practice address
- 9 Manor Way
Buxton, ME 04093-6448 - Phone
- (207) 929-6119
- NPI assigned
- Aug 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT530 | ME | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT530 | ME | Yes |
Addresses
Primary practice location
9 Manor Way
Buxton, ME 04093-6448
Mailing address
9 Manor Way
Buxton, ME 04093-6448
Phone (207) 929-6119
Other providers in Buxton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.