MISTY POTTS (NPI# 1093322232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093322232 |
| Entity Type | Individual |
| Full Name | MISTY POTTS |
| Credential | CDCA171568 |
| Practice Address |
436 Enxing Ave West Carrollton OH 45449-2010 |
| Practice Telephone | 9378679733 |
| Mailing Telephone | 9378679733 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA171568 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209270 | Misty Potts | Dietitian, Registered | 564 W Hampton Rd, Essexville, MI 48732-9710 | 2020-06-10 |
| Street Address |
436 ENXING AVE |
| City | WEST CARROLLTON |
| State | OH |
| Zip Code | 45449-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114559697 | Charles D'imperio | Pharmacist | 2921 W Alexbell Rd, Moraine, OH 45449 | 2020-02-12 |
| 1588166037 | Jennifer Bennett | Counselor | 100 Elmwood Park Dr. Suite 201, Dayton, OH 45449 | 2018-03-01 |
| 1992978597 | Joni Diane Draut | Registered Nurse | 2619 Marigold Dr., Dayton, OH 45449 | 2008-04-04 |
| 1558582205 | Barbara E. Shanahan | Contractor | 510 Richie Drive, West Carrollton, OH 45449 | 2007-05-01 |
| 1124166475 | Nadine K Hubley | Chiropractor | 1615 S Alex Rd, Dayton, OH 45449 | 2007-02-01 |
| 1720171481 | Pharmacy Operations, Inc. | Pharmacy | 1919 S Alex Rd, W Carrollton, OH 45449 | 2006-10-02 |
| 1326039736 | Summit Ohio Leasing Co., LLC | Skilled Nursing Facility | 3800 Summit Glen Drive, Dayton, OH 45449 | 2005-11-03 |
| 1649881731 | Lindsey Catherine Tremblay | Pharmacist | 5901 Springboro Pike, Dayton, OH 45449 | 2020-08-12 |
| 1841615598 | Rosalyn Suprenant | Registered Nurse | 430 E Pease Ave, West Carrollton School District, West Carrollton, OH 45449 | 2014-03-04 |
| 1285928408 | Amanda J Robinett | Registered Nurse | 5932 Springboro Pike, Dayton, OH 45449 | 2011-06-06 |
| Find all providers in zip 45449 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750366258 | Gail Dianne Chmielewski | Counselor | 1615 S. Alex Rd., Suite A, West Carrollton, OH 45449-1449 | 2005-12-07 |
| 1538777289 | Jason D Paxson | Counselor | 1909 S Alex Rd, West Carrollton, OH 45449-4001 | 2020-07-20 |
| 1679044408 | Kimberly Richardson | Counselor | 113 E Central Ave, West Carrollton, OH 45449-1843 | 2018-12-05 |
| 1083195796 | Jessica White | Counselor | 113 E Central Ave, West Carrollton, OH 45449-1843 | 2018-08-22 |
| 1710477427 | January Lee Newport | Counselor | 100 Elmwood Park Dr, West Carrollton, OH 45449-5402 | 2018-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST CARROLLTON |
| Zip Code | 45449 |
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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.