Erica Porter

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

D999730843 Issued in OK

Practice address

4760 E 68TH St
#267
Tulsa, OK 74136

Phone

(918) 565-2710

NPI assigned

Apr 10, 2017

Last updated

Apr 10, 2017By 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

Other identifiers 1

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1649703349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 E 68TH ST",
            "address_2": "APT267",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741364942",
            "telephone_number": "918-565-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 E 68TH ST",
            "address_2": "#267",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-565-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ERICA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "OK",
            "license": "D999730843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOONERCARE",
            "identifier": "006102757",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Timothy Pope, APRN, MSN, FNP-C
• Jodie L. Popp, PA
• Lisha Ryanne Porch-Petitt, CNS
• Brandon Tony Ray Porchia
• Cassie Lee Porebski
• Erica Lynne Porter
• Lauren Kay Porter, RN
• Marsha Porter
• Rebecca Porter, MS, RD, CSP, LD
• Scott Porter

• Prevention Professional in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Prevention Professional in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.