MRS. LISA ANNE POTTASCH (NPI# 1104114545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104114545 |
| Entity Type | Individual |
| Full Name | MRS. LISA ANNE POTTASCH |
| Credential | APRN |
| Practice Address |
4berkshire Boulevard Ability Beyond Disability Bethel CT 06801 |
| Practice Telephone | 2037754700 |
| Practice Fax Number | 2037758028 |
| Mailing Telephone | 2037754700 |
| Mailing Fax Number | 2037758028 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
F305500-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
004652 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4BERKSHIRE BOULEVARD ABILITY BEYOND DISABILITY |
| City | BETHEL |
| State | CT |
| Zip Code | 06801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
| 1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
| 1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
| 1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
| 1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
| 1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
| 1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
| 1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
| 1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
| 1336640333 | Mobeen Zohra | Physician Assistant | 6 Stony Hill Rd, Bethel, CT 06801 | 2018-02-24 |
| Find all providers in zip 06801 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891270740 | Carol F Boaz | Clinical Nurse Specialist | 30 Milestone Rd, Danbury, CT 06810-5114 | 2018-09-26 |
| 1891734216 | Julie Hurley | Clinical Nurse Specialist | 587 Middle Tpke E, Manchester, CT 06040-3731 | 2006-06-05 |
| 1447248760 | Coryn B Clark | Clinical Nurse Specialist | 234 Glenbrook Rd Unit 4011, Storrs, CT 06269-4011 | 2005-10-11 |
| 1851781207 | Robin Lee Richards | Clinical Nurse Specialist | 300 Seaside Ave, Milford, CT 06460-4603 | 2015-01-23 |
| 1679983746 | Eileen Campbell | Clinical Nurse Specialist | 24 Hospital Ave, Danbury, CT 06810-6099 | 2014-04-29 |
| 1942635156 | Kelly Ann Kosma | Clinical Nurse Specialist | 440 New Britain Ave, Plainville, CT 06062-2036 | 2013-09-06 |
| 1902105943 | Kathleen Rinkes | Clinical Nurse Specialist | 365 Montauk Ave, New London, CT 06320-4700 | 2011-03-16 |
| 1376700609 | Marianne Therese Cosentino | Clinical Nurse Specialist | 333 Cedar St, Fmp 3, New Haven, CT 06510-3206 | 2008-05-22 |
| 1215051859 | Sharon Barbara Drakos | Clinical Nurse Specialist | 5 S Main St, Branford, CT 06405-3800 | 2007-03-19 |
| 1972662252 | Cindi M Striebel-oberly | Clinical Nurse Specialist | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102 | 2006-12-06 |
| Find all providers with the same taxonomy | ||||
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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.