Christine L. Porter, M.A.SPEECH PATHOLOGY

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

01040307 Issued in AZ

Practice address

7507 Woodbridge Lane
Portage, MI 49024-4097

Phone

(602) 909-8723

Fax

(269) 350-5303

NPI assigned

Jan 26, 2009

Sex

Female

Sole proprietor

Yes

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1871731075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 WOODBRIDGE LANE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244097",
            "telephone_number": "602-909-8723",
            "fax_number": "269-350-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7507 WOODBRIDGE LANE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244097",
            "telephone_number": "602-909-8723",
            "fax_number": "269-350-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHRISTINE",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "M.A.SPEECH PATHOLOGY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "01040307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Portage Opco, LLC
• Portage Pediatric Dentistry PLC
• Portage Pharmacy, Inc.
• Portage Podiatry PC
• Maria Portal Caballero
• Marie Porter
• Oscar Posada, D.C.
• Suzy Posluszny, M.S. CCC-SLP
• James R Posthumus, PHARM.D
• Zachary Potter-Zimmerman, BA

• Speech-Language Pathologist in Portage, MI
• Providers in Portage, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.