Active NPI
Chris L Porter, ARNP
- Nurse Practitioner
- Burien, WA
National Provider Identifier
1801852090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006421
- Practice address
- 16259 Sylvester Road SW
Suite 404
Burien, WA 98166 - Phone
- (206) 241-1818
- Fax
- (206) 244-3991
- NPI assigned
- Apr 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30006421 | WA | Primary |
Addresses
Primary practice location
16259 Sylvester Road SW
Suite 404
Burien, WA 98166
Mailing address
PO Box 13684
Seattle, WA 98198-1010
Phone (206) 592-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00355642 | Other | WA | RR MEDICARE |
| 9644667 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30006421 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People of Color Against AIDS Network | Current | Accepting new patients | |
| Dallas Nephrology Associates | Past | Accepting new patients | |
| Dallas Nephrology Associates | Past | Accepting new patients | |
| Highline Medical Group Inc | Nurse Practitioner | Past | Accepting new patients |
Interoperability endpoints
- https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 4
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.
-
- Family Nurse Practitioner
- Federal Way, WA
- NPI 1114782414
-
- Ambulatory Surgical Clinic/Center
- Dallas, TX
- NPI 1053634030
-
- Nephrology Physician
- Dallas, TX
- NPI 1861440109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1801852090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13684",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981981010",
"telephone_number": "206-592-5000",
"fax_number": "206-824-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16259 SYLVESTER ROAD SW",
"address_2": "SUITE 404",
"city": "BURIEN",
"state": "WA",
"postal_code": "98166",
"telephone_number": "206-241-1818",
"fax_number": "206-244-3991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "CHRIS",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00355642",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9644667",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.