Individual provider Active NPI

Emily Porte, CRNP

  • Pediatric Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1295566560
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R237334 Issued in MD
Practice address
604 Hoagie Dr
Bel Air, MD 21014-1884
Phone
(410) 893-4844
Fax
(410) 893-4927
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R237334 MD Primary

Addresses

Primary practice location

604 Hoagie Dr
Bel Air, MD 21014-1884

Mailing address

748 Iron Gate Rd
Bel Air, MD 21014-3359
Phone (410) 588-7415

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
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
R237334MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
L & W Pediatrics PA Past Accepting new patients

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": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1295566560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 IRON GATE RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143359",
            "telephone_number": "410-588-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HOAGIE DR",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210141884",
            "telephone_number": "410-893-4844",
            "fax_number": "410-893-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTE",
        "first_name": "EMILY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R237334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.