MEDICARE: JAYIA TESHAWN PORTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1992475933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYIA TESHAWN PORTER

Provider Business Mailing Address
First Line	:	4751 ARROYO SECO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-3520
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4751 ARROYO SECO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89115-3520
Country	:	US
Telephone Number	:	323-618-4381
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	09/20/2021

Similar Medicare Providers

1518577923 — GENEVA ANNETTE WOODS
Practice Location Address:

4751 ARROYO SECO DR
LAS VEGAS, NV
89115-3520

Practice Phone: 725-212-1062
Practice Fax:

1417548322 — UNIQUE FULSE
Practice Location Address:

4751 ARROYO SECO DR
LAS VEGAS, NV
89115-3520

Practice Phone: 323-499-0766
Practice Fax:

1063238640 — DEBRA LOPEZ
Practice Location Address:

3520 GEIST AVE APT 103
LAS VEGAS, NV
89115-3134

Practice Phone: 702-357-8317
Practice Fax: 702-357-8317

1356552897 — MRS. RAMONA DENSIE BEASLEY MFT, LCADC
Practice Location Address:

3520 E TROPICANA AVE STE 2C
LAS VEGAS, NV
89121-7310

Practice Phone: 702-605-2766
Practice Fax: 702-938-9056

1942491592 — FLAGG LLC D/B/A REALITY RECOVERY
Practice Location Address:

3520 E TROPICANA AVE , SUITE E
LAS VEGAS, NV
89121-7342

Practice Phone: 702-434-4029
Practice Fax: 702-434-4033

1720384845 — THE EMPOWERMENT CENTRE, LLC
Practice Location Address:

3520 E TROPICANA AVE STE 2C
LAS VEGAS, NV
89121-7310

Practice Phone: 702-551-4732
Practice Fax: 702-938-9056

Directions to “ JAYIA TESHAWN PORTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.