Dawn Deporter, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PST020791 Issued in LA

Practice address

13620 Robin Ridge Dr
Baton Rouge, LA 70810-0432

Phone

(978) 335-6077

NPI assigned

Mar 20, 2025

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 names 1

• Dawn Deporter-Kimmence Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Knu-Health Atlanta, Inc.

  • Mail Order Pharmacy
  • Atlanta, GA
  • NPI 1265238117
  NPD Authorized official
• Knu-Health Atlanta, Inc.

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1295559656
  NPD Authorized official

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1992506562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 ROBIN RIDGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100432",
            "telephone_number": "978-335-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 ROBIN RIDGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100432",
            "telephone_number": "978-335-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPORTER",
        "first_name": "DAWN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "LA",
            "license": "PST020791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DEPORTER-KIMMENCE",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dental Solutions, LLC
• Department of Children and Family Services
• Department of Health and Hospitals
• Department of Health and Hospitals, Office of Public Health
• Dependable Transportation Services LLC
• Gregory Depron
• Taylor Deranger, LMSW
• Erin Wheeler Derbigny, MD
• Derma LLC
• Dermatology and Aesthetic Institute

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.