Active NPI
Katherine Sharp Porterfield, PA-C
- Physician Assistant
- Albuquerque, NM
National Provider Identifier
1346326329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2011-0054
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA2011-0054 | NM | MD | Physician Assistant |
| MA051235 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Access Support and Solutions for Health | Past | Accepting new patients | |
| Justice Access Support and Solutions for Health | Past | 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.
-
- Clinic/Center
- Albuquerque, NM
- NPI 1376823625
-
- Clinical Social Worker
- Albuquerque, NM
- NPI 1831606987
-
- General Acute Care Hospital
- Fort Defiance, AZ
- NPI 1700962131
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.