Marie Michelle Porthouse, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024079016 Issued in VA

Practice address

4501 Empire CT
Fredericksburg, VA 22408-1949

Phone

(540) 891-1200

Fax

(540) 891-1225

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Capital Palliative Care Consultants, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Falls Church, VA
  • NPI 1275541013
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1962430298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081949",
            "telephone_number": "540-891-1200",
            "fax_number": "540-891-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 EMPIRE CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081949",
            "telephone_number": "540-891-1200",
            "fax_number": "540-891-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTHOUSE",
        "first_name": "MARIE",
        "middle_name": "MICHELLE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024079016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7788614",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Porcelli
• Dina P Porter, DDS
• Jason Max Porter, CRNA
• Katina Porter, MS
• Tammy L Porter
• Positive Behavior Consult LLC.
• Jonathon Brian Posthumus, MD
• Prima Poudel, M.D.
• Thomas Poudrier, CSAC SUPERVISEE
• Shelton Piland Poulter, MSW, LCSW

• Family Nurse Practitioner in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.