Active NPI
Stevan Michael Porter
- Paramedic
- Herndon, VA
National Provider Identifier
1760388904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- E011210704
- Practice address
- 905 Vine St
Herndon, VA 20170-3735 - Phone
- (703) 798-6742
- NPI assigned
- Oct 15, 2026
- Last updated
- Oct 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | E011210704 | VA | Primary |
Addresses
Primary practice location
905 Vine St
Herndon, VA 20170-3735
Mailing address
PO Box 403
Herndon, VA 20172-0403
Phone (703) 798-6742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792022400000",
"number": "1760388904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 403",
"city": "HERNDON",
"state": "VA",
"postal_code": "201720403",
"telephone_number": "703-798-6742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 VINE ST",
"city": "HERNDON",
"state": "VA",
"postal_code": "201703735",
"telephone_number": "703-798-6742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "STEVAN",
"middle_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-15",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "VA",
"license": "E011210704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.