Active NPI
Deanna Gail Porter, 28427-31
- Home Health Agency
- Madison, WI
National Provider Identifier
1356720890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 28427-31
- Practice address
- 1706 S Thompson Dr
Madison, WI 53716-1982 - Phone
- (608) 228-7902
- NPI assigned
- May 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 28427-31 | WI | Primary |
Addresses
Primary practice location
1706 S Thompson Dr
Madison, WI 53716-1982
Mailing address
1706 S Thompson Dr
Madison, WI 53716-1982
Phone (608) 228-7902
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F-11259 | Other | WI | PRIVATE DUTY NURSING FOR MEMBERS VENTILATOR DEPENDENT FOR LIFE-SUPPORT PEDIATRIC |
| F-11258 | Other | WI | PRIVATE DUTY NURSING FOR MEMBERS VENTILATOR DEPENDENT FOR LIFE-SUPPORT ADULT |
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 |
|---|---|---|---|
| 28427-31 | WI | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432771200000",
"number": "1356720890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 S THOMPSON DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537161982",
"telephone_number": "608-228-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 S THOMPSON DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537161982",
"telephone_number": "608-228-7902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "DEANNA",
"middle_name": "GAIL",
"name_prefix": "Ms.",
"credential": "28427-31",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2015-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": "28427-31",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE DUTY NURSING FOR MEMBERS VENTILATOR DEPENDENT FOR LIFE-SUPPORT PEDIATRIC",
"identifier": "F-11259",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE DUTY NURSING FOR MEMBERS VENTILATOR DEPENDENT FOR LIFE-SUPPORT ADULT",
"identifier": "F-11258",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.