Individual provider Active NPI

Katherine Sharp Porterfield, PA-C

  • Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1346326329
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2011-0054 Issued in NM
Practice address
9525 Dona Rowena Ave NE
Albuquerque, NM 87111-2509
Phone
(505) 554-1208
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051235 PA
Physician Assistant 363A00000X PA2011-0054 NM Primary

Addresses

Primary practice location

9525 Dona Rowena Ave NE
Albuquerque, NM 87111-2509

Mailing address

9525 Dona Rowena Ave NE
Albuquerque, NM 87111-2509
Phone (505) 554-1208

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2011-0054NMMDPhysician Assistant
MA051235PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Access Support and Solutions for Health PastSince Feb 20, 2018 Accepting new patients
Justice Access Support and Solutions for Health PastSince Dec 16, 2020 Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1346326329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 DONA ROWENA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112509",
            "telephone_number": "505-554-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9525 DONA ROWENA AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112509",
            "telephone_number": "505-554-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTERFIELD",
        "first_name": "KATHERINE",
        "middle_name": "SHARP",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051235",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2011-0054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.