Active NPI
Vernicka Deshawn Porter-Sales, D.O.
- Pediatrics Physician
- Humble, TX
National Provider Identifier
1952383838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L4650
- Practice address
- 17634 Bear River LN
Humble, TX 77346-1558 - Phone
- (409) 782-2434
- NPI assigned
- Nov 16, 2005
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | L4650 | TX | Primary |
| Hospitalist Physician | 208M00000X | L4650 | TX |
Addresses
Primary practice location
17634 Bear River LN
Humble, TX 77346-1558
Mailing address
11097B Northwest Freeway
Houston, TX 77092
Phone (713) 496-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152342501 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4650 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vernicka D. Porter-Sales, DO, PA | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Kidz 1st Pediatrics
- Pediatrics Physician
- San Antonio, TX
- NPI 1932345360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1952383838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11097B NORTHWEST FREEWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77092",
"telephone_number": "713-496-1331",
"fax_number": "713-496-1334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17634 BEAR RIVER LN",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773461558",
"telephone_number": "409-782-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER-SALES",
"first_name": "VERNICKA",
"middle_name": "DESHAWN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-16",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "L4650",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "L4650",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152342501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.