MAINE
NPI 1154807469
Nurse Practitioner in Portsmouth, NH

Q: What is Pophealthcare Medical Services Of Az, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 19, 2018CLIA Certified · 4 labs

170 COMMERCE WAY STE 200, PORTSMOUTH, NH 03801(800) 793-7050 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Jul 20, 2018 (2 updates tracked since 2018).

On this page

About Maine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINE (NPI 1154807469) is a healthcare organization registered as a nurse practitioner in Portsmouth, New Hampshire and active in the NPI registry since July 2018. The organization holds 4 active CLIA laboratory certificates, maintains a secondary practice location in Portland, and lists Susan Porter, Director, as its authorized official.

NPPES Registry Identity

NPI1154807469

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePOPHEALTHCARE MEDICAL SERVICES OF AZ, PC

Location Address170 COMMERCE WAY STE 200Portsmouth, NH 03801-3272

Mailing Address113 Seaboard Ln Ste 200bFranklin, TN 37067-8282 · (800) 793-7050 · Fax (877) 358-8109

Phone(800) 793-7050

Organization SubpartNo

Authorized OfficialSusan PorterDirector · (615) 500-2199

Enumeration DateJuly 19, 2018

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1154807469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

170 COMMERCE WAY STE 200, Portsmouth, NH 03801

Open in Google Maps ↗

Other Names 3

Other NameMaine

Other NameNew Hampshire

Other NameOregon

Secondary Practice Location 1

Location 1254 Commercial St Ste 245Portland, ME 04101-4899 · Phone (207) 808-5589

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 30D2272484

Pophealthcare · Portsmouth, NH

Active · expires Nov 21, 2026

CLIA Number30D2272484

Laboratory TypeHouse Calls Practice

Certificate Effective DateNovember 22, 2024

Certificate Expiration DateNovember 21, 2026

Laboratory DirectorChristopher Dodd

Laboratory Phone(603) 600-8100

Laboratory LocationPophealthcare170 Commerce Way, Ste 200, Portsmouth, NH 03801

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2272673

Pophealthcare · Portland, ME

Active · expires Nov 27, 2026

CLIA Number20D2272673

Laboratory TypeHouse Calls Practice

Certificate Effective DateNovember 28, 2024

Certificate Expiration DateNovember 27, 2026

Laboratory DirectorChristopher Dodd

Laboratory Phone(207) 808-5589

Laboratory LocationPophealthcare254 Commercial St Merril's Wharf, Suite 245, Portland, ME 04101

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2340280

Maine Go Red For Women Event · Portland, ME

Active · expires Mar 15, 2028

CLIA Number20D2340280

Laboratory TypeHealth Fair

Certificate Effective DateMarch 16, 2026

Certificate Expiration DateMarch 15, 2028

Laboratory DirectorJohn C. Southall

Laboratory Phone(207) 879-3172

Laboratory LocationMaine Go Red For Women Event88 Spring Street, Portland, ME 04101

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 20D2137914

Maine Eye Center PA · Portland, ME

Active · expires Oct 5, 2027

CLIA Number20D2137914

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateOctober 6, 2025

Certificate Expiration DateOctober 5, 2027

Laboratory DirectorSara Bozorg

Laboratory Phone(207) 523-5677

Laboratory LocationMaine Eye Center PA161 Marginal Way, Portland, ME 04101

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JODIE ELIZABETH DEMING PH.D., BCBA-D

Behavior Analyst