Active NPI
Bridget R Porter
- Home Health Aide
- Las Vegas, NV
National Provider Identifier
1386398329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 10303-PCS-1
- Practice address
- 5940 S Rainbow Blvd Ste 3009
Las Vegas, NV 89118-2506 - Phone
- (702) 835-9207
- NPI assigned
- Feb 8, 2022
- Last updated
- Feb 8, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 10303-PCS-1 | NV | Primary |
Addresses
Primary practice location
5940 S Rainbow Blvd Ste 3009
Las Vegas, NV 89118-2506
Mailing address
5940 S Rainbow Blvd Ste 3009
Las Vegas, NV 89118-2506
Phone (702) 835-9207
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 |
|---|---|---|---|
| 10303-PCS-1 | NV | MD | Home Health Aide |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1386398329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD STE 3009",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "702-835-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5940 S RAINBOW BLVD STE 3009",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891182506",
"telephone_number": "702-835-9207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "BRIDGET",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NV",
"license": "10303-PCS-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.