NPIMap

Individual provider Active NPI

Laura Porch, FNP

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1487609509
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
91972 Issued in TN
Practice address
8000 Centerview Pkwy Ste 300
Cordova, TN 38018-4254
Phone
(901) 747-1111
NPI assigned
May 24, 2006
Last updated
Nov 16, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 91972 TN Primary

Addresses

Primary practice location

8000 Centerview Pkwy Ste 300
Cordova, TN 38018-4254

Mailing address

8000 Centerview Pkwy Ste 300
Cordova, TN 38018-4254
Phone (901) 747-1111

Other identifiers 2

IdentifierTypeStateIssuer
4170692OtherTNBC BS TN
PENDINGMedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000173 TN Practitioner - Nurse Practitioner 7618074287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Clinic, PCGroup PAC ID 8729066352, 10 clinicians

Practice addresses (Care Compare)

8000 Centerview Pkwy
Suite 500
Cordova, TN 38018-4254
Phone 9017471111131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
6668TNMDSpeech-Language Pathologist
91972TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Clinic, PC CurrentSince Sep 5, 2017 Accepting new patients
Neurology Clinic, PC CurrentSince Sep 5, 2017 Accepting new patients
Bell Internal Medicine PC Past Accepting new patients
Primary Care Group LLC Family Past Accepting new patients
Memphis Primary Care & Wellness Associates Past Accepting new patients
Memphis Neurology PLLC PastSince Aug 1, 2021 Accepting new patients
Mittal Kidney and Dialysis PC Past Accepting new patients

Locations

8000 Centerview Pkwy
Ste 300
Cordova, TN 38018
Phone (901) 747-1111

8000 Centerview Pkwy
Ste 500
Cordova, TN 38018
Phone (901) 747-1111

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73850
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDAA

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1487609509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY STE 300",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184254",
            "telephone_number": "901-747-1111",
            "fax_number": "901-747-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY STE 300",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184254",
            "telephone_number": "901-747-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "91972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS TN",
            "identifier": "4170692",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.