Shannon Marie Porter, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

834519 Issued in CA

Practice address

820 34TH St Ste 202
Bakersfield, CA 93301-2268

Phone

(661) 862-7377

Fax

(661) 323-3001

NPI assigned

May 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496102400000",
    "number": "1346778784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14312 SAN ESTEBAN AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933143781",
            "telephone_number": "661-862-7377",
            "fax_number": "661-323-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 34TH ST STE 202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012268",
            "telephone_number": "661-862-7377",
            "fax_number": "661-323-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "834519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joann Keiko Porter
• Kenyatta P Porter
• Kisha Lameka Porter
• Laura Jennifer Porter
• Makaela Porter
• Josephine Portillo
• Karen N Portillo, ASSOCIATES
• Loren Portillo
• Denise Portugal, M.D.
• Gracie Posey, PT, DPT, NCS

• Registered Nurse in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; 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.