Active NPI
Molly Porter, AU.D.
- Audiologist
- Gig Harbor, WA
National Provider Identifier
1790137776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD60666129
- Practice address
- 4700 Point Fosdick Dr NW
Suite 212
Gig Harbor, WA 98335-1706 - Phone
- (253) 851-3932
- NPI assigned
- Jul 1, 2016
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD60666129 | WA | Primary |
Addresses
Primary practice location
4700 Point Fosdick Dr NW
Suite 212
Gig Harbor, WA 98335-1706
Mailing address
4700 Point Fosdick Dr NW
Suite 212
Gig Harbor, WA 98335-1706
Phone (253) 851-3932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 NW Bucklin Hill Rd
Suite 103
Silverdale, WA 98383-8359
Phone (360) 692-6650
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD60666129 | WA | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympic Hearing Center PC | Audiologist | Past | Accepting new patients |
| Kitsap Audiology, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Audiologist
- Gig Harbor, WA
- NPI 1336318310
-
- Hearing Instrument Specialist
- Silverdale, WA
- NPI 1588917926
-
- Audiologist
- Sequim, WA
- NPI 1033319876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1790137776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "SUITE 212",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-851-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 POINT FOSDICK DR NW",
"address_2": "SUITE 212",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983351706",
"telephone_number": "253-851-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "MOLLY",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-01",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD60666129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gig Harbor, WA
- Angelo Valenzuela Poblete, ARNP
- Point Fosdick Physical Therapy, Inc PS
- Sindhu Pokhriyal, MD
- Kathleen Virginia Polk-Ickes, MSC
- Kylie Noel Pollard, PHYSICIAN ASSISTANT
- Cory James Power, LMT
- Penelope Power, L.M.P.
- Douglas Craig Pratt, PHARMD
- Preferred Orthotic and Prosthetic Services Inc
- Premier Massage Staffing Agency, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.