Active NPI
Ke'la Hailey Porter
- Athletic Trainer
- Clayton, NC
National Provider Identifier
1932644697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 000032468323
- Practice address
- 127 Chippenham CT
Clayton, NC 27520-9113 - Phone
- (919) 901-5308
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 000032468323 | NC | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 000032468323 | NC |
Addresses
Primary practice location
127 Chippenham CT
Clayton, NC 27520-9113
Mailing address
127 Chippenham CT
Clayton, NC 27520-9113
Phone (919) 901-5308
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 |
|---|---|---|---|
| 000032468323 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1932644697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 CHIPPENHAM CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275209113",
"telephone_number": "919-901-5308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 CHIPPENHAM CT",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275209113",
"telephone_number": "919-901-5308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "KE'LA",
"middle_name": "HAILEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "000032468323",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "000032468323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.