AMANDA LYNN PORTER MD NPI 1639638729

NPI Information

  • NPI: 1639638729
  • Provider Name: AMANDA LYNN PORTER, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4100 PARK FOREST DR STE 200
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 600-7466

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NPI Details

Amanda Lynn Porter, MD is a neurology psychiatry neurology in Traverse City, MI with 7 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Amanda Lynn Porter, MD NPI is 1639638729. 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:

4100 PARK FOREST DR STE 200
TRAVERSE CITY, MI
ZIP 49684-306
Phone: (231) 600-7466
Fax: (877) 370-4631

The NPI 1639638729 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 3/18/2019 and was last updated on 11/5/2025.

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
12084N0400XPsychiatry & NeurologyNeurologyTRN29276FLORIDANo
22084N0400XPsychiatry & NeurologyNeurology90096SOUTH CAROLINAYes
32084N0400XPsychiatry & NeurologyNeurology4301512346MICHIGANNo
42084N0400XPsychiatry & NeurologyNeurologyME147513FLORIDANo
5207R00000XInternal MedicineTRN29276FLORIDANo
62084B0040XPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry4301512346MICHIGANNo

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: 11/21/2025

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