Carolyn Marie Porta, PHD, MPH, RN, SANE-A

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R-12972-2 Issued in MN

Practice address

640 Jackson St
Saint Paul, MN 55101-2595

Phone

(651) 226-4221

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy, Registered Nurse

State licenses

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1700609203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 PINEHURST AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161339",
            "telephone_number": "651-226-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012595",
            "telephone_number": "651-226-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTA",
        "first_name": "CAROLYN",
        "middle_name": "MARIE",
        "credential": "PHD, MPH, RN, SANE-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R-12972-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrine Ann Poole, MSW, LICSW
• Naomi Poole, MSW, LICSW
• Kristina Popov, FNP
• Nadia Poquette, PA
• Joan Porcher, RD
• Eleanor Porter-Nelson, MSW
• Amy Jo Porter, PTA
• Shasha Caroline Porter
• Lisa D Portinga, MSW
• Andrew John Portis, M.D.

• Registered Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.