Nicholas Porter
Individual provider Active NPI Social Worker · Columbus, KS
NPI 1487549267 · NPPES record last updated Jun 11, 2025
Key facts
- NPI
- 1487549267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 14171-T (KS)
- Practice address
- 201 W Walnut St
Columbus, KS 66725-1121 - Phone
- (620) 429-1860
- NPI assigned
- Jun 11, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14171-T | KS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 14171-T | KS | Yes |
Addresses
Primary practice location
201 W Walnut St
Columbus, KS 66725-1121
Mailing address
6610 SE Quakervale Rd
Riverton, KS 66770-4185
Other providers in Columbus, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.