Jill Porter CRNP PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JILL PORTER CRNP PA

Practice address

1310 Belmont Ave
Suite 302
Salisbury, MD 21804-4506

Phone

(410) 430-7247

Fax

(443) 458-0661

NPI assigned

Aug 30, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jill Renee Porter, CRNPNPI 1053441881

Title

Owner

Phone

(410) 430-7247

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GIFHBD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jill Renee Porter, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
  • NPI 1053441881
  Medicare reassignment Care Compare group NPD Authorized official
• Sarah Jackson Bowden, DNP CRNP FNP-C

  • Nurse Practitioner
  • Salisbury, MD
  • NPI 1962033548
  Medicare reassignment Care Compare group NPD
• Lindsay Harrington, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
  • NPI 1942018601
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1861948853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 BELMONT AVE",
            "address_2": "SUITE 302",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044506",
            "telephone_number": "443-953-1278",
            "fax_number": "443-458-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BELMONT AVE",
            "address_2": "SUITE 302",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218044506",
            "telephone_number": "410-430-7247",
            "fax_number": "443-458-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL PORTER CRNP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-430-7247",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.