Active NPI
Christy Carty Porter, FNP
- Family Nurse Practitioner
- Lebanon, VA
National Provider Identifier
1487623088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024147370
- Practice address
- 75 Rogers St
Lebanon, VA 24266 - Phone
- (276) 889-7621
- Fax
- (276) 889-7695
- NPI assigned
- Mar 16, 2006
- Last updated
- Mar 1, 2011
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024147370 | VA | Primary |
Addresses
Primary practice location
75 Rogers St
Lebanon, VA 24266
Mailing address
PO Box 2347
Lebanon, VA 24266-2347
Phone (276) 889-7621
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024147370 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Russell County Dental Clinic | Past | Accepting new patients | |
| Virginia Department of Health | Past | Accepting new patients | |
| Commonwealth of Virginia State Board of Health | Past | Accepting new patients | |
| Virginia Department of Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Nelson County Health Department
- Public Health or Welfare Agency
- Arrington, VA
- NPI 1679580922
-
- Dental Clinic/Center
- Lebanon, VA
- NPI 1265544332
-
dba Russell County Health Department
- Multi-Specialty Clinic/Center
- Lebanon, VA
- NPI 1649231044
-
dba Buchanan County Health Department
- Multi-Specialty Clinic/Center
- Grundy, VA
- NPI 1811958200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298937600000",
"number": "1487623088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2347",
"city": "LEBANON",
"state": "VA",
"postal_code": "242662347",
"telephone_number": "276-889-7621",
"fax_number": "276-889-7695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ROGERS ST",
"city": "LEBANON",
"state": "VA",
"postal_code": "24266",
"telephone_number": "276-889-7621",
"fax_number": "276-889-7695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CHRISTY",
"middle_name": "CARTY",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2011-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024147370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.