Karlie Shea Porter, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN263756 Issued in GA

Practice address

1700 Tree LN Ste 110
Snellville, GA 30078-6749

Phone

(770) 972-0860

Fax

(770) 972-0850

NPI assigned

Jul 20, 2022

Sex

Female

Sole proprietor

No

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72215

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.

• Snellville Pediatrics, P.C.

  • Pediatrics Physician
  • Snellville, GA
  • NPI 1154453967
  NPD

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1457086803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 110",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786749",
            "telephone_number": "770-972-0860",
            "fax_number": "770-972-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LN STE 110",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786749",
            "telephone_number": "770-972-0860",
            "fax_number": "770-972-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "KARLIE",
        "middle_name": "SHEA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN263756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poe Transport
• Mallory Pollock
• Emma Marino Pontalti
• Reid Weston Popple, DMD
• Markus Thomas Porkert, MD
• William Porter, RBT
• Destine Posey
• Positive People Taking Charge LLC
• Debbie Poss, RBT
• Post-Acute Physicians of Georgia P.C.

• Pediatric Nurse Practitioner in Snellville, GA
• Providers in Snellville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.

Verify at the official NPI Registry.