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MR. DERRICK ALLEN PORTER
NPI 1760406938
Technician - Personal Care Attendant in Springdale, AR

Active since July 27, 2006
20188 W VANZANT RD, SPRINGDALE, AR 72764(479) 263-1804 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derrick Allen Porter NPPES

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

MR. DERRICK ALLEN PORTER (NPI 1760406938) is an individual personal care attendant in Springdale, Arkansas, licensed in Arkansas (60593) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1760406938
Entity TypeIndividualMale
Primary Taxonomy3747P1801X
Provider Legal NameMR. DERRICK ALLEN PORTER
Location Address20188 W VANZANT RDSpringdale, AR 72764-8978
Mailing Address20188 W Vanzant RdSpringdale, AR 72764-8978 · (479) 263-1804
Phone(479) 263-1804
Sole ProprietorYes
Enumeration DateJuly 27, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1760406938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in AR · 60593
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
20188 W VANZANT RD, Springdale, AR 72764
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Other Identifiers 1

MedicaidMCO13589AR

Other Providers at the Same Location NPPES

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

TRENT ALLEN PORTER
Technician (Personal Care Attendant)
20188 W VANZANT RD
SPRINGDALE, AR 72764
Washington County (479) 313-4811

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 Derrick Porter's NPI number?

The NPI number for Derrick Porter is 1760406938. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Derrick Porter located?

Derrick Porter practices at 20188 W Vanzant Rd, Springdale, AR 72764. The listed phone number is (479) 263-1804.

What is Derrick Porter's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Derrick Porter was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.