DR. ELIZABETH JEAN POTTER (NPI# 1013172097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013172097 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH JEAN POTTER |
| Credential | MD |
| Practice Address |
747 Broadway Seattle WA 98122-4379 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2062152520 |
| Enumeration Date | 2008-07-19 |
| Last Update Date | 2012-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD60302324 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912280579 | Elizabeth Ann Potter | Counselor | 10831 Old Mill Rd Ste 100a, Omaha, NE 68154-2635 | 2011-09-21 |
| 1154478162 | Elizabeth Potter | Nurse Practitioner | 1219 West Main Street, West Liberty, KY 41472-1007 | 2007-01-04 |
| 1639738545 | Elizabeth Eve Potter | Nurse Practitioner | 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124-1236 | 2019-06-13 |
| 1669940904 | Elizabeth Ann Potter | Physical Therapy Assistant | 10300 4th St N, St Petersburg, FL 33716-3810 | 2018-11-05 |
| 1861930034 | Elizabeth Potter | Occupational Therapy Assistant | 12812 Old Glenn Hwy, Eagle River, AK 99577-7002 | 2017-02-07 |
| 1942691720 | Elizabeth Potter | Psychiatry & Neurology | 1065 Ne 125th St Ste 206, North Miami, FL 33161-5832 | 2015-02-14 |
| 1528368362 | Elizabeth Pierce Potter | Specialist/Technologist | 163 Silver St, Waterville, ME 04901-5813 | 2010-10-27 |
| 1659683860 | Elizabeth Pierce Potter | Case Manager/Care Coordinator | 1570 Waverly Rd, Kingsport, TN 37664-2523 | 2010-07-06 |
| 1194974220 | Elizabeth Mary Potter | Registered Nurse | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2008-09-12 |
| 1770730848 | Elizabeth Walker Potter | Speech-Language Pathologist | 855 Stahlheber Rd, Hamilton, OH 45013-1963 | 2008-08-20 |
| Street Address |
747 BROADWAY |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-4379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935960 | Marilee M. Jensen | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2005-07-07 |
| 1366058919 | Mairghread Foley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-18 |
| 1891301628 | Jessica C Kelley | Registered Nurse | 747 Broadway, Seattle, WA 98122-4307 | 2020-09-17 |
| 1972116010 | Lindsey Gervascio | Registered Nurse | 747 Broadway, Seattle, WA 98122-4379 | 2020-08-28 |
| 1669097572 | Jisun Park | Dietitian, Registered | 747 Broadway, Seattle, WA 98122-4379 | 2020-06-16 |
| 1023633187 | Hang Hoang-nguyen | Pharmacist | 747 Broadway, Seattle, WA 98122-4307 | 2020-06-14 |
| 1558981357 | Caitlin Elizabeth Busbee | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-21 |
| 1164041323 | Emma Ludesi Makoba | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4379 | 2020-04-08 |
| 1043849375 | Kaitlin Jane Byerly | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-07 |
| 1649809161 | Jia Hui Wang | Student in an Organized Health Care Education/Training Program | 747 Broadway, Seattle, WA 98122-4307 | 2020-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| 1558928531 | Donn J Colby | Internal Medicine | 318 17th Ave E, Seattle, WA 98112-5107 | 2019-05-24 |
| 1922585736 | Summit Consulting for Post Acute Care LLC | Internal Medicine | 1170 Alki Ave Sw Apt 301, Seattle, WA 98116-4828 | 2018-07-24 |
| 1619401668 | Chipo Natasha Kwendakwema | Internal Medicine | 1959 Ne Pacific St Rm Bb527, Box 356421, Seattle, WA 98195-6421 | 2017-04-17 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1851831838 | Allofor Inc. | Internal Medicine | 5608 17th Ave Nw Ste 537, Seattle, WA 98107-5232 | 2017-02-24 |
| 1558817791 | Frankenfeld Home Visits Mht LLC | Internal Medicine | 4816 Aurora Avenue N, Seattle, WA 98103 | 2016-08-28 |
| 1093268542 | Hansen Mht LLC | Internal Medicine | 4816 Aurora Ave N, Seattle, WA 98103-6518 | 2016-08-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.