Active NPI
Kathryn Porter, CPNP
- Pediatrics Physician
- Marion, AR
National Provider Identifier
1407545908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 238989
- Practice address
- 924 State Highway 77
Marion, AR 72364-9004 - Phone
- (870) 739-8670
- Fax
- (870) 739-8706
- NPI assigned
- May 2, 2023
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 238989 | AR | Primary |
Addresses
Primary practice location
924 State Highway 77
Marion, AR 72364-9004
Mailing address
924 State Highway 77
Marion, AR 72364-9004
Phone (870) 739-8670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905937 | MS | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1407545908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 STATE HIGHWAY 77",
"city": "MARION",
"state": "AR",
"postal_code": "723649004",
"telephone_number": "870-739-8670",
"fax_number": "870-739-8706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 STATE HIGHWAY 77",
"city": "MARION",
"state": "AR",
"postal_code": "723649004",
"telephone_number": "870-739-8670",
"fax_number": "870-739-8706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KATHRYN",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-02",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "238989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.