Portia Price, PMHNP-BC, FNP-C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2023008467 Issued in MO

Practice address

783 Weber Rd
Farmington, MO 63640-3318

Phone

(573) 756-1574

Fax

(573) 756-1577

NPI assigned

Mar 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Counseling Center, Inc.

  • Community/Behavioral Health Agency
  • Kennett, MO
  • NPI 1669477550
  Medicare reassignment NPD
• Family Counseling Center, Inc.

  • Primary Care Clinic/Center
  • Poplar Bluff, MO
  • NPI 1235738493
  NPD

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1376084780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014403",
            "telephone_number": "573-271-5317",
            "fax_number": "573-335-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 WEBER RD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403318",
            "telephone_number": "573-756-1574",
            "fax_number": "573-756-1577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 S West St",
            "address_purpose": "LOCATION",
            "city": "Concordia",
            "state": "MO",
            "postal_code": "640209643",
            "country_code": "US",
            "telephone_number": "660-463-2267",
            "fax_number": "573-335-6724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Chambers Rd",
            "address_purpose": "LOCATION",
            "city": "Ferguson",
            "state": "MO",
            "postal_code": "631352133",
            "country_code": "US",
            "telephone_number": "314-524-1111",
            "fax_number": "314-806-4006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Bonne Terre",
            "state": "MO",
            "postal_code": "636281820",
            "country_code": "US",
            "telephone_number": "573-358-2800",
            "fax_number": "573-358-1090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "PORTIA",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017006973",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023008467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Nichole Pratt, COTA/L
• Precision Eye Care, Inc.
• Presbyterian Manors, Inc.
• Presbyterian Manors, Inc.
• Lacey R Prevallet, FNP-BC
• Carla Prince Bolivar, M.D.
• Stephanie Pritchett
• Tracy M Proctor
• Prorehab, PC
• Shawna Prosser, BS

• Psychiatric/Mental Health Nurse Practitioner in Farmington, MO
• Providers in Farmington, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.