Active NPI
Shenay M Porter, LPN
- Licensed Practical Nurse
- Paris, TX
National Provider Identifier
1851894901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- L055987
- Practice address
- 3605 NE Loop 286 Ste 200
Paris, TX 75460-5091 - Phone
- (903) 737-4337
- NPI assigned
- Mar 15, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | L055987 | AR | Primary |
Addresses
Primary practice location
3605 NE Loop 286 Ste 200
Paris, TX 75460-5091
Mailing address
1598 Highway 73 W
Washington, AR 71862-9043
Phone (903) 733-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L055987 | Other | AR | LICENSED PRACTICAL NURSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L055987 | AR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1851894901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1598 HIGHWAY 73 W",
"city": "WASHINGTON",
"state": "AR",
"postal_code": "718629043",
"telephone_number": "903-733-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 NE LOOP 286 STE 200",
"city": "PARIS",
"state": "TX",
"postal_code": "754605091",
"telephone_number": "903-737-4337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "SHENAY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-15",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "AR",
"license": "L055987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PRACTICAL NURSE",
"identifier": "L055987",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.