MRS. BRANDY KAY PORTER ND NPI 1578532040

NPI Information

NPI: 1578532040
Provider Name: MRS. BRANDY KAY PORTER, ND
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
302 W FARIS RD
GREENVILLE, SC
ZIP 29605
Phone: (864) 473-9406
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MRS. Brandy Kay Porter, ND is a family nurse practitioner in Greenville, SC with 21 years of experience. MRS. Brandy Kay Porter, ND NPI is 1578532040. 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:

302 W FARIS RD
GREENVILLE, SC
ZIP 29605-005
Phone: (864) 473-9406

The NPI 1578532040 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 3/16/2006 and was last updated on 8/21/2015.

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	363LA2100X	Nurse Practitioner	Acute Care	APN2163	SOUTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	APN2163	SOUTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	APN2163	SOUTH CAROLINA	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	Other Provider Identifier Issuer
1	5004520	OTHER	NORTH CAROLINA	NC APRN
2	AA07755770	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA
3	Q36653	MEDICARE UPIN	SOUTH CAROLINA
4	AA07759090	MEDICARE UPIN	SOUTH CAROLINA

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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