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Deactivated NPI 1053926964 Deactivated / Inactive NPI Female Practitioner

Deann Porter

Prosthetist • St Louis, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Deann Porter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 09, 2020
NPI Deactivation Date February 05, 2024
Total Practice Duration ~4 Years of Practice (2020 – 2024)

Professional Overview & Biography Verified Profile Summary

Deann Porter was a registered Prosthetist practicing in St Louis, MO. Throughout an active medical career spanning 4 years, Deann Porter provided care at the practice location at 8743 MAVIS PLACE until profile deactivation on 2024-02-05.

Practice Location & Contact Primary Location

Practice Address

8743 Mavis Place

St Louis, MO 63114

Telephone 3142706599

Specialty Benchmarks & Practice Insights

Comparative analytics for Prosthetist in St Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in St Louis, MO (26 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

Prosthetist Primary Specialty

NUCC Taxonomy Code: 224P00000X

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 05, 2024

Record deactivated on February 05, 2024

NPI Profile Active September 09, 2020

NPI status registered as active in NPPES database

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Updated Practice Location September 09, 2020

Registered at 8743 MAVIS PLACE, ST LOUIS, MO 63114 (Tel: 3142706599)

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Updated Business Mailing Address September 09, 2020

Registered at 12255 NATURAL BRIDGE RD UNIT 759, BRIDGETON, MO 630445007

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Provider Name / Credentials Updated September 09, 2020

Recorded as DEANN PORTER

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2020

Prosthetist

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Initial NPI Registration & Enumeration September 09, 2020

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: 1053926964
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 09, 2020
Last Update: September 09, 2020
Deactivation Date: February 05, 2024

Mailing Address

12255 Natural Bridge Rd Unit 759

Bridgeton, MO 630445007

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.