Carolyn J. Porter, F.N.P.

Primary specialty

Community Health Nurse PractitionerTaxonomy code 363LC1500X

License

R128490 Issued in MD

Practice address

1035 1St Ave West
Flathead Community Health Center
Kalispell, MT 59901-5607

Phone

(406) 751-8155

Fax

(406) 751-8151

NPI assigned

Nov 13, 2006

Last updated

Feb 10, 2012By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeside Clinic P.C.

  • Primary Care Clinic/Center
  • Somers, MT
  • NPI 1053665091
  NPD (past)
• Suzanne C Gullotta

  dba Lakeside Family Health Center

  • Family Nurse Practitioner
  • Somers, MT
  • NPI 1699872010
  NPD (past)
• Central Washington University Student Health Counseling and Wellness

  • Health Service Clinic/Center
  • Ellensburg, WA
  • NPI 1548460025
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328832000000",
    "number": "1962573477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE WEST",
            "address_2": "FLATHEAD COMMUNITY HEALTH CENTER",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-751-8155",
            "fax_number": "406-751-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 1ST AVE WEST",
            "address_2": "FLATHEAD COMMUNITY HEALTH CENTER",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599015607",
            "telephone_number": "406-751-8155",
            "fax_number": "406-751-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CAROLYN",
        "middle_name": "J.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2012-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "MD",
            "license": "R128490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trishia Ann Pollard, LCPC
• Tracy Pollath, PA-C
• Jey Ponti, PT, MS
• Julie C Ponti, PA-C
• Anthony J Popp Jr., DC
• Postpartum Core LLC (Irina Beckner)
• Cristie Potratz
• Patricia Marie Webb Potter, FNP
• Ronald B Potthoff, DDS
• Candace L. Powell, LCPC

• Community Health Nurse Practitioner in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Community Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.