Active NPI 1952842528 Individual Practitioner Female Practitioner

Phyllis Diane Porter

Day Training, Developmentally Disabled Services • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Phyllis Porter is a registered healthcare professional specializing in Day Training, Developmentally Disabled Services in Jacksonville, FL. Practice services are available at 6650 103RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6650 103rd St
Apt 401

Jacksonville, FL 322107143

Telephone 9045595434

Associated Practice Facility / Clinic

🏢 In Search Of A New Beginning, Inc Facility NPI 1841062783

Specialty Benchmarks & Practice Insights

Comparative analytics for Day Training, Developmentally Disabled Services in Jacksonville, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

55 Specialists

Practicing in Jacksonville, FL (414 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Day Training, Developmentally Disabled Services Primary Specialty

NUCC Taxonomy Code: 251C00000X

State License FL 000809200

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000809200 (FL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 16, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2017

Registered at 6650 103RD ST, APT 401, JACKSONVILLE, FL 322107143 (Tel: 9045595434)

📍

Updated Business Mailing Address March 16, 2017

Registered at PO BOX 7064, JACKSONVILLE, FL 322380064 (Tel: 9044443045)

👤

Provider Name / Credentials Updated March 16, 2017

Recorded as PHYLLIS PORTER

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2017

Day Training, Developmentally Disabled Services (License #000809200 in FL)

🟢

Initial NPI Registration & Enumeration March 16, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1952842528

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 16, 2017

Last Update: March 16, 2017

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 7064

Jacksonville, FL 322380064

Phone: 9044443045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.