Rebecca A Porrata, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

254662 Issued in CA

Practice address

100 6TH St
Point Reyes Station, CA 94956

Phone

(415) 663-8231

Fax

(415) 473-3828

NPI assigned

Nov 30, 2007

Last updated

Nov 30, 2007By the provider in NPPES

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marin County Health and Human Services

  dba Marin County Immunization Clinic

  • Public Health or Welfare Agency
  • San Rafael, CA
  • NPI 1366688434
  NPD (past)

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1801078829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 NORTHGATE STE 100",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "94903",
            "telephone_number": "415-473-3809",
            "fax_number": "415-473-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 6TH ST",
            "city": "POINT REYES STATION",
            "state": "CA",
            "postal_code": "94956",
            "telephone_number": "415-663-8231",
            "fax_number": "415-473-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRATA",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "254662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Halle M Ostman, RN
• Lemny Perez, M.A.
• Petaluma Health Center Inc (Point Reyes Medical Clinic)
• Petaluma Health Center, Inc. (Point Reyes Community Health Center Pharmacy)
• Kelsey Elaine Phelps
• Rogelio Ramirez
• Richard Melvyn Schiller, DPM
• Amy Schliftman
• Rosaleen Curry Shelley, FNP
• David Gabriel Siegel, LMFT

• Registered Nurse in Point Reyes Station, CA
• Providers in Point Reyes Station, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.