DR. ANN ELIZABETH POTTER (NPI# 1063491413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063491413 |
| Entity Type | Individual |
| Full Name | DR. ANN ELIZABETH POTTER |
| Credential | PHD |
| Practice Address |
12822 Augusta Avenue Omaha NE 68144 |
| Practice Telephone | 4024030190 |
| Practice Fax Number | 4029324121 |
| Mailing Telephone | 4024030190 |
| Mailing Fax Number | 4029324121 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
279 | NE | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD | 08382 | 01 |
| NE | BC/BS | 08382 | 01 |
| MEGELLAN | 600509097 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780890368 | Ann Marie Potter | Occupational Therapist | 75 Evelyn Dr, Millersburg, PA 17061-1258 | 2007-05-14 |
| 1417009390 | Ann Bartz Potter | Nurse Practitioner | 1533 S Main St, Winston Salem, NC 27127-2738 | 2007-01-18 |
| 1063445005 | Ann Louise Potter | Psychiatry & Neurology | 88 Washington St, Taunton, MA 02780-2465 | 2006-07-09 |
| Street Address |
12822 AUGUSTA AVENUE |
| City | OMAHA |
| State | NE |
| Zip Code | 68144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619096054 | Janice Smigelsky | Social Worker | 12822 Augusta Avenue, Omaha, NE 68144 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695061 | True Counseling & Psychological Services, LLC | Psychologist | 3610 N 163rd Plz Ste 208, Omaha, NE 68116-2164 | 2020-03-25 |
| 1851853733 | Cynthia S Topf, Phd | Psychologist | 2933 S 120th St, Omaha, NE 68144-4310 | 2019-04-01 |
| 1720596026 | Sarah Hoff | Psychologist | 11414 W Center Rd Ste 243, Omaha, NE 68144-4487 | 2018-01-21 |
| 1881149631 | Agnes Mariann Stairs | Psychologist | Specialty Services Pavilion Rm 5014, 984185 Nebraska Medical Center, Omaha, NE 68198-4185 | 2016-08-22 |
| 1801292321 | Complete Behavioral Health | Psychologist | 5414 S 99th St, Omaha, NE 68127-3214 | 2014-11-11 |
| 1871939934 | Kari R. Perez, Ph.d., P.C. | Psychologist | 4565 S. 133rd St., Omaha, NE 68137 | 2013-05-16 |
| 1255634531 | Thurman Psychological LLC | Psychologist | 6818 Grover St., Ste. 305, Omaha, NE 68106 | 2010-12-08 |
| 1114240553 | Emily R. Campbell | Psychologist | 4611 S 96th St Ste 177, Omaha, NE 68127-1232 | 2010-03-11 |
| 1669621678 | Stankus Psychological Services P.C. | Psychologist | 1941 So 42nd St, #524, Omaha, NE 68105-2945 | 2008-09-15 |
| 1306011705 | Wicks Psychological Services, Inc. | Psychologist | 6550 S 84th St, Suite 300, Omaha, NE 68127-4194 | 2008-04-25 |
| Find all providers in OMAHA | ||||
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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.