MRS. ELLEN LOUISE POTTS (NPI# 1184859415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184859415 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN LOUISE POTTS |
| Credential | ARNP |
| Practice Address |
2140 Kingsley Ave Suite 2 Orange Park FL 32073 |
| Mailing Address |
Po Box 57967 Jacksonville FL 32241-7967 |
| Practice Telephone | 9048864878 |
| Practice Fax Number | 9048867438 |
| Mailing Telephone | 9048864878 |
| Mailing Fax Number | 9048847438 |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP668652 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 300892400 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689732299 | Ellen Klepzig Potts | Emergency Medicine | 659 Boulevard, Union Hospital, Dover, OH 44622 | 2006-12-05 |
| Street Address |
2140 KINGSLEY AVE SUITE 2 |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239607 | James Roy Biggerstaff | Family Medicine | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2005-07-19 |
| 1063995306 | Carissa Aquino | Specialist/Technologist | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2018-09-12 |
| 1265982045 | Garrett Randall Johnson | Physical Therapist | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2016-10-05 |
| 1710432455 | Nicole Mills | Physical Therapist | 2140 Kingsley Ave, Suite 5, Orange Park, FL 32073-5180 | 2016-08-23 |
| 1891121851 | Rebecca Anne Weir | Physical Therapy Assistant | 2140 Kingsley Ave, Suite 5, Orange Park, FL 32073-5144 | 2013-09-23 |
| 1427397264 | Orange Park Acute Trauma,llc | Surgery | 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5180 | 2013-02-13 |
| 1588909659 | Amanda Jeanette Shinko | Physician Assistant | 2140 Kingsley Ave, Suite 1, Orange Park, FL 32073-5180 | 2012-11-30 |
| 1902188923 | Rick Albarran | Nurse Practitioner | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2011-09-15 |
| 1861790404 | Amber Lynn Thomas | Nurse Practitioner | 2140 Kingsley Ave, Suite 14, Orange Park, FL 32073-5180 | 2011-03-07 |
| 1932421716 | Solantic Urgent Care | Pharmacy | 2140 Kingsley Ave, Orange Park, FL 32073-5180 | 2010-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1154943587 | Baylee Joudi | Nurse Practitioner | 1680 Eagle Harbor Pkwy Ste A&c, Orange Park, FL 32003-4821 | 2020-05-07 |
| 1568097129 | Rosangelly Colon-torres | Nurse Practitioner | 1188 Bedrock Dr, Orange Park, FL 32065-5234 | 2020-03-04 |
| 1447895487 | Christina Phillips | Nurse Practitioner | 730 Camp Francis Johnson Rd, Orange Park, FL 32065-5811 | 2019-11-13 |
| 1588121818 | Molesha Cooke | Nurse Practitioner | 3467 Biltmore Way, Orange Park, FL 32065-2286 | 2019-02-22 |
| 1992261044 | Nicole Juline Wissel | Nurse Practitioner | 3766 Timberline Dr, Orange Park, FL 32065-2503 | 2019-02-13 |
| 1477027373 | Ancelle Jackson | Nurse Practitioner | 4220 Plantation Oaks Blvd Unit 1812, Orange Park, FL 32065-3547 | 2019-01-14 |
| 1568942092 | Immaculee Nyirasuku | Nurse Practitioner | 3205 Bear Run Blvd, Orange Park, FL 32065-7334 | 2018-08-15 |
| 1518473370 | Runelon Alcudia | Nurse Practitioner | 2140 Kingsley Ave Ste 14, Orange Park, FL 32073-5129 | 2017-12-15 |
| 1508388240 | Bradley Neal Taylor | Nurse Practitioner | 1893 Kingsley Ave Ste C&d, Orange Park, FL 32073-4491 | 2017-07-14 |
| 1659777480 | Iselis Garcia | Nurse Practitioner | 1465 Kingsley Ave Ste 1101, Orange Park, FL 32073-4504 | 2014-11-05 |
| Find all providers in ORANGE PARK | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.