MASITA ISABEL PORAY NP NPI 1386197770

NPI Information

NPI: 1386197770
Provider Name: MASITA ISABEL PORAY, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
5435 E 16TH ST STE 500
INDIANAPOLIS, IN
ZIP 46218
Phone: (317) 355-8280
Get Directions

Masita Isabel Poray, NP is a psychiatric/mental health nurse practitioner in Indianapolis, IN with 8 years of experience. Masita Isabel Poray, NP NPI is 1386197770. 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:

5435 E 16TH ST STE 500
INDIANAPOLIS, IN
ZIP 46218-869
Phone: (317) 355-8280

The NPI 1386197770 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 8/2/2016 and was last updated on 6/22/2021.

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	363LG0600X	Nurse Practitioner	Gerontology	71006787A	INDIANA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	71006787A	INDIANA	Yes
3	363LP2300X	Nurse Practitioner	Primary Care	71006787A	INDIANA	No

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	Other Provider Identifier Issuer
1	201409920	MEDICAID	INDIANA
2	P01824535	OTHER	INDIANA	RR MEDICARE

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: 4/28/2024

NPI Synchronization or Removal

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