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DUSTIN BLAKE PORTER NPI 1205178399


NPI Information

NPI: 1205178399
Provider Name: DUSTIN BLAKE PORTER
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Organization: INTERMOUNTAIN HEALTHCARE SERVICES, INC

PECOS Registration: Yes

Address:
550 S JACKSON ST
ROOM A2J21
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-6191
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Dustin Blake Porter is a student in an organized health care education training program in Louisville, KY with 6 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Dustin Blake Porter NPI is 1205178399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2018

The provider's business location address is:

550 S JACKSON ST
ROOM A2J21
LOUISVILLE, KY
ZIP 40202-622
Phone: (502) 852-6191

The NPI 1205178399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 3/26/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.