Jessica Porter, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

101.0070812 Issued in VT

Practice address

168 Battery St
Burlington, VT 05401-5285

Phone

(802) 881-3891

Fax

(802) 860-2399

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Interoperability endpoints

• Direct secure messaging: jessica.porter.1@17433.direct.athenahealth.com

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1396052783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ADAMS ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014525",
            "telephone_number": "802-881-3891",
            "fax_number": "802-419-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 BATTERY ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015285",
            "telephone_number": "802-881-3891",
            "fax_number": "802-860-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VT",
            "license": "101.0070812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Pomerantz, M.S.
• Alex Poniz
• Marion Pope, LCAT, LCMHC, ATR-BC
• Megan Poremba
• David A Porter, MA, LADC
• Jon Kevin Porter, M.D.
• Kenley Porter
• Louis Bassett Porter, M.D.
• Rebecca Jane Porter, MS, LCMHC, LADC
• Jacquelyn Schnackel Porzucek, APRN-CNP

• Psychiatric/Mental Health Nurse Practitioner in Burlington, VT
• Providers in Burlington, VT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.