MISS PHYLLIS DIANE PORTER
NPI 1952842528
Day Training, Developmentally Disabled Services in Jacksonville, FL

Q: What is Phyllis Porter's NPI number?

The NPI number for Phyllis Porter is 1952842528. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Q: What is Phyllis Porter's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Porter was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 16, 2017

6650 103RD ST, APT 401, JACKSONVILLE, FL 32210(904) 559-5434 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Miss Phyllis Diane Porter NPPES

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

MISS PHYLLIS DIANE PORTER (NPI 1952842528) is an individual day training, developmentally disabled services provider in Jacksonville, Florida, licensed in Florida (000809200) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1952842528

Entity TypeIndividualFemale

Primary Taxonomy251C00000X

Provider Legal NameMISS PHYLLIS DIANE PORTER

Location Address6650 103RD ST, APT 401Jacksonville, FL 32210-7143

Mailing AddressPo Box 7064Jacksonville, FL 32238-0064 · (904) 444-3045

Phone(904) 559-5434

Sole ProprietorYes

Enumeration DateMarch 16, 2017

✔ NPI 1952842528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in FL · 000809200

Definition

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.

6650 103RD ST, Jacksonville, FL 32210

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Other Identifiers 1

Medicaid000809200FL

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 Phyllis Porter's NPI number?

The NPI number for Phyllis Porter is 1952842528. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Phyllis Porter located?

Phyllis Porter practices at 6650 103rd St Apt 401, Jacksonville, FL 32210. The listed phone number is (904) 559-5434.

What is Phyllis Porter's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Phyllis Porter was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.