Individual provider Active NPI

Jamie Dorothy Porteus

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1508520917
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348175 Issued in NY
Practice address
419 Park Ave S FL 6
New York, NY 10016-8410
Phone
(888) 402-3972
NPI assigned
Oct 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11037424 FL
Nurse Practitioner 363L00000X 26NJ15304800 NJ
Nurse Practitioner 363L00000X 11179 CT
Nurse Practitioner 363L00000X SP032425 PA
Family Nurse Practitioner 363LF0000X 348175 NY Primary
Nurse Practitioner 363L00000X 1108472 TX

Addresses

Primary practice location

419 Park Ave S FL 6
New York, NY 10016-8410

Mailing address

419 Park Ave S FL 6
New York, NY 10016-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 17, 2024 through Dec 17, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348175NYMDFamily Nurse Practitioner
AP1108472TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atria Physician Practice New York, PC PastSince Oct 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24265/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jamie.porteus.1@24265.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1508520917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARK AVE S FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100168410",
            "telephone_number": "888-402-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTEUS",
        "first_name": "JAMIE",
        "middle_name": "DOROTHY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11037424",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15304800",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CT",
            "license": "11179",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP032425",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348175",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1108472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.