GRETCHEN EVANNE PORTER RN, CNP, LAC
NPI 1558372953
Nurse Practitioner - Adult Health in Minneapolis, MN

Q: What is Gretchen Porter's NPI number?

The NPI number for Gretchen Porter is 1558372953. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Q: What is Gretchen Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Gretchen Porter was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 10, 2006

5208 BLOOMINGTON AVE, MINNEAPOLIS, MN 55417(612) 916-0774 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Gretchen Evanne Porter Rn, Cnp, Lac NPPES

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

GRETCHEN EVANNE PORTER RN, CNP, LAC (NPI 1558372953) is an individual adult health provider in Minneapolis, Minnesota, licensed in Minnesota (R0713753) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1558372953

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameGRETCHEN EVANNE PORTERCredential: RN, CNP, LAC

Location Address5208 BLOOMINGTON AVEMinneapolis, MN 55417-1820

Mailing Address5208 Bloomington AveMinneapolis, MN 55417-1820

Phone(612) 916-0774

Sole ProprietorYes

Enumeration DateAugust 10, 2006

Last NPPES UpdateMay 20, 2008

✔ NPI 1558372953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · R0713753

Also ListedAcupuncturistTaxonomy 171100000X · License 1305 (MN)

5208 BLOOMINGTON AVE, Minneapolis, MN 55417

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified500002781MN

Medicare UPINR94989MN

Medicaid4927427-00MN

Other Providers at the Same Location NPPES

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

MS. MELANIE MARIE ALFORD LICSW

Social Worker (Clinical)

5208 BLOOMINGTON AVE
MINNEAPOLIS, MN 55417

Hennepin County (415) 342-6416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gretchen Porter's NPI number?

The NPI number for Gretchen Porter is 1558372953. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Gretchen Porter located?

Gretchen Porter practices at 5208 Bloomington Ave, Minneapolis, MN 55417. The listed phone number is (612) 916-0774.

What is Gretchen Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Gretchen Porter was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.