Individual provider Active NPI

Damaris Porter, APRN, FNP-C

  • Family Nurse Practitioner
  • Denton, TX
National Provider Identifier
1245609072
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP128571 Issued in TX
Practice address
1801 S Loop 288
Denton, TX 76205-4801
Phone
(940) 220-2123
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP128571 TX Primary

Addresses

Primary practice location

1801 S Loop 288
Denton, TX 76205-4801

Mailing address

1801 S Loop 288
Denton, TX 76205-4801
Phone (940) 220-2123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151106000953 TX Practitioner - Nurse Practitioner 6901116797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

11317 N Central Expy
Suite 100
Dallas, TX 75243-6703
Phone (972) 408-2777

1922 Dry Creek Way
Suite 134
San Antonio, TX 78259-3345
Phone (210) 485-3700

4709 W Parker Rd
Suite 500
Plano, TX 75093-3382
Phone (469) 974-0565

6823 82ND St
Suite 100
Lubbock, TX 79424-5155
Phone (806) 810-4651

720 W 34TH St
Suite 104
Austin, TX 78705-1205
Phone (512) 261-4800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Dec 16, 2015 Accepting new patients
Innovative Infusions, LLC CurrentSince Aug 13, 2018 Accepting new patients
Innovative Infusions, LLC CurrentSince Aug 13, 2018 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Dec 16, 2015 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

1801 S Loop 288
Denton, TX 76205
Phone (940) 220-2122

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

4709 W Parker Rd
Ste 500
Plano, TX 75093
Phone (469) 974-0565

2200 Dallas Pkwy
Plano, TX 75093
Phone (972) 378-7879

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

8000 Denton Hwy
Watauga, TX 76148
Phone (817) 427-0298

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1245609072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S LOOP 288",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054801",
            "telephone_number": "940-220-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S LOOP 288",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762054801",
            "telephone_number": "940-220-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "DAMARIS",
        "name_prefix": "Miss",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP128571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.