MICHELLE M. PORTER RD LDN NPI 1083918197

NPI Information

NPI: 1083918197
Provider Name: MICHELLE M. PORTER, RD, LDN
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
211 S 9TH ST
6TH FLOOR WALNUT TOWERS
PHILADELPHIA, PA
ZIP 19107
Phone: (215) 955-1925
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Michelle M. Porter, RD, LDN is a nutrition and metabolic dietitian registered in Philadelphia, PA. Michelle M. Porter, RD, LDN NPI is 1083918197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

211 S 9TH ST
6TH FLOOR WALNUT TOWERS
PHILADELPHIA, PA
ZIP 19107-810
Phone: (215) 955-1925
Fax: (215) 928-3160

The enumeration date for this NPI number is 1/4/2011 and was last updated on 4/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	DN004010	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	486371	MEDICARE PIN	NEW JERSEY
2	259223	MEDICARE PIN	PENNSYLVANIA
3	102969883	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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