Individual provider Active NPI

Ann Elaine Porter, RN PHN

  • Case Management Registered Nurse
  • Oxnard, CA
National Provider Identifier
1891984050
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
216062 Issued in CA
Practice address
2500 S C St
Suite C
Oxnard, CA 93033-4560
Phone
(805) 385-9438
Fax
(805) 385-9145
NPI assigned
Oct 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 216062 CA Primary

Addresses

Primary practice location

2500 S C St
Suite C
Oxnard, CA 93033-4560

Mailing address

2500 S C St
Suite C
Oxnard, CA 93033-4560
Phone (805) 385-9438

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
216062CAMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1891984050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S C ST",
            "address_2": "SUITE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334560",
            "telephone_number": "805-385-9438",
            "fax_number": "805-385-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S C ST",
            "address_2": "SUITE C",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930334560",
            "telephone_number": "805-385-9438",
            "fax_number": "805-385-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ANN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "RN PHN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "216062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.