KIMBERLY ELIZABETH POTTER (NPI# 1073147393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073147393 |
| Entity Type | Individual |
| Full Name | KIMBERLY ELIZABETH POTTER |
| Credential | NP |
| Practice Address |
4692 Brownsboro Rd Winston Salem NC 27106-3410 |
| Practice Telephone | 3362511114 |
| Mailing Telephone | 3362511114 |
| Mailing Fax Number | 3362511117 |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5012911 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790110096 | Kimberly Lynn Potter | Licensed Practical Nurse | 47 Darbyshire Dr, Jeffersonville, OH 43128-1104 | 2013-09-05 |
| 1396994042 | Kimberly Sue Potter | Registered Nurse | 4306 Southcross Dr, Batavia, OH 45103-7110 | 2008-09-17 |
| 1700378015 | Kimberly Ann Potter | Developmental Therapist | 3100 Apache Dr, Jonesboro, AR 72401-7404 | 2018-06-01 |
| 1023457421 | Kimberly Potter | Nurse Practitioner | 3525 Olentangy River Rd, Ste,4330, Columbus, OH 43214-3937 | 2013-06-18 |
| 1205127370 | Kimberly A Potter | Behavioral Analyst | 294 Harrington Ave Ste 8, Closter, NJ 07624-1912 | 2011-04-25 |
| 1871809251 | Kimberly Potter | Social Worker | 1510 Waters Pl, Bronx, NY 10461-2700 | 2010-08-24 |
| 1609954676 | Kimberly Potter | Physical Therapist | 3009 New Bern Ave, Raleigh, NC 27610-1214 | 2006-11-01 |
| 1144311051 | Kimberly Potter | Physical Therapist | 540 Kingsley Ave, Orange Park, FL 32073-4847 | 2006-09-27 |
| Street Address |
4692 BROWNSBORO RD |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27106-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541581 | Nagaraja Vishakantaiah | Family Medicine | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2005-07-12 |
| 1700402674 | Chelsey Rae Stovall | Registered Nurse | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2020-06-17 |
| 1417592080 | Lee Yarber | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-11-07 |
| 1669015202 | Allona Frazier | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-10-28 |
| 1063072130 | Danielle Nichole Stovall | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-06-19 |
| 1407314818 | Erin Maeve Morrison | Physician Assistant | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2019-03-05 |
| 1811467871 | Karen Griffin Taylor | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106-3410 | 2018-12-03 |
| 1225527617 | Cassandra Dawn Restrepo | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2018-05-01 |
| 1659880516 | Jennifer Winn Powell | Registered Nurse | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-23 |
| 1265950315 | Alexandra Nixon | Nurse Practitioner | 4692 Brownsboro Rd, Winston Salem, NC 27106 | 2017-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799103 | Tyler Laura Lawrence | Behavioral Analyst | 1959 N Peace, 104, Winston-salem, NC 27106 | 2020-01-10 |
| 1316504624 | Amanda Baker | Behavior Technician | 1959 N Peace Haven Rd, Suite 104, Winston Salem, NC 27106 | 2019-05-22 |
| 1679030316 | Lavonda Williams | Behavior Technician | 1959 N Peace Haven Road, Winston Salem, NC 27106 | 2019-03-01 |
| 1518436708 | Angela Ruth Brown | Physical Therapy Assistant | 190 Moravian Way Drive, Winston-salem, NC 27106 | 2018-11-16 |
| 1407378896 | Applied Family Services of Winston-salem | Early Intervention Provider Agency | 4220 Witherow Rd, Winston Salem, NC 27106 | 2017-07-07 |
| 1750801676 | Julia Ann Horton | Speech-Language Pathologist | 2000 Salemtowne Drive, Winston Salem, NC 27106 | 2017-06-21 |
| 1124548037 | Tyler John Jones | Community Health Worker | 7014 Brandemere Ln. Apt F, Winston Salem, NC 27106 | 2017-06-21 |
| 1396274759 | Jennifer Cui | Social Worker | 3216 Cross Tree Rd, Winston-salem, NC 27106 | 2017-06-08 |
| 1063947802 | Rebecca Jeanette Mclemore | Social Worker | 4401 Providence Ln. #121, Top Priority Care Services, LLC., Winston-salem, NC 27106 | 2017-05-01 |
| 1720529357 | Rising Hope Clinical Assistance, LLC | Community/Behavioral Health | 510 Northgate Park Dr, Winston Salem, NC 27106 | 2017-03-15 |
| Find all providers in zip 27106 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567175 | Fenny Apondi Okello | Nurse Practitioner | 4254 Paula Dr, Winston Salem, NC 27127-6820 | 2020-04-22 |
| 1659917615 | Mh Medical Services, PC | Nurse Practitioner | 2415 S Stratford Rd Bldg 1, Winston Salem, NC 27103-6225 | 2019-11-25 |
| 1053957118 | Mh Medical Services, PC | Nurse Practitioner | 950 Reynolds Blvd Bldg 611-12, Winston Salem, NC 27105-3450 | 2019-11-25 |
| 1548756547 | Tracy Gaffney | Nurse Practitioner | 4134 Macarthur St, Winston Salem, NC 27107-6124 | 2018-07-03 |
| 1568958692 | Heather Triplett | Nurse Practitioner | Medical Center Blvd Neurosurgery Clinic, Winston Salem, NC 27157-0001 | 2018-07-01 |
| 1619498987 | Yolanda Enrich | Nurse Practitioner | 652 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-06-27 |
| 1316483738 | Julie Shaun Kozel | Nurse Practitioner | 656 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-01-09 |
| 1578923199 | Denise B Westendorf | Nurse Practitioner | 2680 Saint Johns Pl, Winston Salem, NC 27106-3830 | 2016-02-24 |
| 1568890705 | Lourdes C Ramos | Nurse Practitioner | 650 Highland Ave Ste 120, Winston Salem, NC 27101-4304 | 2013-10-25 |
| 1063735504 | Meredith Renae Clark | Nurse Practitioner | 605 Cotton St, Winston Salem, NC 27101-5080 | 2010-03-11 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27106 |
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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.