Stephanie Portis

Primary specialty

Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X

License

BL166001 Issued in AR

Practice address

10515 W Markham St
Little Rock, AR 72205-2297

Phone

(501) 393-0083

Fax

(501) 391-7272

NPI assigned

Mar 12, 2024

Last updated

Apr 18, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1487412615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST STE L7",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052288",
            "telephone_number": "501-393-0083",
            "fax_number": "501-391-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W MARKHAM ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722052297",
            "telephone_number": "501-393-0083",
            "fax_number": "501-391-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTIS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AR",
            "license": "BL166001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ola Mae Porter
• Sheila Ruth Porter, RN
• Zachary Porter
• Heather Porterfield, APRN, AGCNS-BC
• Roberto Antonio Portillo, R.N.
• Tracye Portwood, RN
• Aleta B Posey, B.S.E.
• Ashley M Posey
• Lori Ann Posey, APN
• Lyndsey Posey, PA-C

• Assisted Living Facility (Behavioral Disturbances) in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Assisted Living Facility (Behavioral Disturbances) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.