Xiomara Jacqueline Porras, RN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

107240 Issued in OK

Practice address

2617 General Pershing Blvd
Oklahoma City, OK 73107-6437

Phone

(405) 858-2968

NPI assigned

Sep 23, 2012

Last updated

Jul 24, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

State of OklahomaGroup PAC ID 4486558962, 99 clinicians

Total Primary Care PCGroup PAC ID 7618238924, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Total Primary Care PC

  • Primary Care Clinic/Center
  • Oklahoma City, OK
  • NPI 1548788698
  Medicare reassignment Care Compare group NPD Authorized official
• Clearview Mental Health PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Warr Acres, OK
  • NPI 1306690920
  Medicare reassignment NPD Authorized official
• State of Oklahoma

  dba Central Oklahoma Community Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norman, OK
  • NPI 1588755532
  Medicare reassignment Care Compare group NPD
• State of Oklahoma

  • Skilled Nursing Facility
  • Talihina, OK
  • NPI 1154589430
  NPD
• State of Oklahoma

  • Medical Specialty Clinic/Center
  • Woodward, OK
  • NPI 1750456588
  NPD
• State of Oklahoma

  dba Northwest Center for Behavioral Health

  • Psychiatric Hospital
  • Fort Supply, OK
  • NPI 1922171701
  NPD (past)

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1245581883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 NW 20TH ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085405",
            "telephone_number": "405-408-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 GENERAL PERSHING BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731076437",
            "telephone_number": "405-858-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAS",
        "first_name": "XIOMARA",
        "middle_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "107240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katarina Popovic, MD
• Jaime Popp, RN
• Niveditha Popuri, MD
• Jeffrey Ariel Porras, M.D.
• Sergio Armando Porras
• Nicole Fay Porte, M.A.
• Porter Medical Associates Inc
• Andrea Denyse Porter
• Cara Porter, MD
• Delicia Lashele Porter, LPC

• Family Nurse Practitioner in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.