Active NPI
Diana C Porter, FNP
- Family Nurse Practitioner
- Chesapeake, VA
National Provider Identifier
1316137359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0017000137
- Practice address
- 108 Knells Ridge Blvd
Suite 100
Chesapeake, VA 23320-4885 - Phone
- (757) 436-1234
- Fax
- (757) 548-3665
- NPI assigned
- Jul 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0017000137 | VA | Primary |
Addresses
Primary practice location
108 Knells Ridge Blvd
Suite 100
Chesapeake, VA 23320-4885
Mailing address
108 Knells Ridge Blvd
Suite 100
Chesapeake, VA 23320-4885
Phone (757) 436-1234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0017000137 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1316137359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 KNELLS RIDGE BLVD",
"address_2": "SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204885",
"telephone_number": "757-436-1234",
"fax_number": "757-548-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 KNELLS RIDGE BLVD",
"address_2": "SUITE 100",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204885",
"telephone_number": "757-436-1234",
"fax_number": "757-548-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "DIANA",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0017000137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.