CHRISTINE A. POTTER (NPI# 1245752856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245752856 |
| Entity Type | Individual |
| Full Name | CHRISTINE A. POTTER |
| Credential | PA-C |
| Practice Address |
420 N State Route 31 Crystal Lake IL 60012-3709 |
| Mailing Address |
420 N Il Route 31 Crystal Lake IL 60012-3709 |
| Practice Telephone | 8157882018 |
| Mailing Telephone | 8153565200 |
| Mailing Fax Number | 8153565262 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.007362 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 4207-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10625 W North Ave Ste 102, Milwaukee, WI 532262315 | 4148775350 | 4148775360 |
| 690 E Terra Cotta Ave Ste A, Crystal Lake, IL 600143605 | 8154552752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033406426 | Christine Yvonne Potter | Registered Nurse | Jct. Hwy 160 & Navajo Route 25 - Red Mesa, Teec Nos Pos, AZ 86514 | 2011-07-06 |
| 1013150291 | Christine M Potter | Occupational Therapy Assistant | 75 Mohawk St, Fort Plain, NY 13339-1350 | 2009-04-17 |
| 1417284977 | Christine Marie Potter | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2009-11-04 |
| 1245414648 | Christine M Potter | Nurse Practitioner | 1421 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2007-12-20 |
| Street Address |
420 N STATE ROUTE 31 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60012-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033574629 | Joan M Ryan | Counselor | 610 N Route 31, Suite E, Crystal Lake, IL 60012 | 2015-12-23 |
| 1285972331 | Lauren Elyse Westerman | Physical Therapist | 1000 Brighton Ln, Crystal Lake, IL 60012 | 2013-01-24 |
| 1447537469 | Sean Gale | Pharmacist | 135 Carmella Dr, Crystal Lake, IL 60012 | 2011-11-04 |
| 1477836625 | Judy Meekyung Fakhouri | Pharmacist | 315 N. Route 31, Crystal Lake, IL 60012 | 2011-09-23 |
| 1730462136 | Leslie Dawn Weckerlin | Pharmacist | 315 N Route 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1639452188 | Laura Jean Galles | Pharmacist | 315 N. Routet 31, Crystal Lake, IL 60012 | 2011-09-21 |
| 1326320516 | Stacey Jean Knuth | Pharmacist | 315 North Route 31, Crystal Lake, IL 60012 | 2011-09-13 |
| 1356469803 | Donn Orien Humphries | Chiropractor | 690 N Route 31, Suite F, Crystal Lake, IL 60012 | 2007-03-26 |
| 1538204508 | Midwest Physical Therapy Ctr | Clinic/Center | 630 N Rt 31, Suite 103, Crystal Lake, IL 60012 | 2007-02-20 |
| 1356488415 | Charlotte Joy Parcels | Social Worker | 8600 Route 14, Suite 110, Crystal Lake, IL 60012 | 2007-01-30 |
| Find all providers in zip 60012 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1851865257 | Julia Kocemba | Physician Assistant | 1761 Queensport Dr, Crystal Lake, IL 60014-2978 | 2019-01-18 |
| 1124449558 | Robin K Pond | Physician Assistant | 5911 Northwest Highway, Suite 205, Crystal Lake, IL 60014 | 2014-01-03 |
| 1649494691 | Tamara A. Pride | Physician Assistant | 820 E Terra Cotta Ave Ste 125, Crystal Lake, IL 60014 | 2007-04-12 |
| 1134121965 | Makiko Ogino-mcelligott | Physician Assistant | 525 E Congress Pkwy, 100, Crystal Lake, IL 60014-6245 | 2005-08-11 |
| 1134648389 | Ryan Miguel Colon | Physician Assistant | 420 N Il Route 31, Crystal Lake, IL 60012 | 2017-09-19 |
| 1225406499 | Eric Torres | Physician Assistant | 750 E Terra Cotta Ave, Crystal Lake, IL 60014-3621 | 2015-09-04 |
| 1679963821 | Kelly A Muscavitch | Physician Assistant | 750 E Terra Cotta Ave, Suite C, Crystal Lake, IL 60014-3621 | 2015-01-27 |
| 1265718993 | Ralph Andrew Seymoure | Physician Assistant | 6119 Northwest Hwy, Crystal Lake, IL 60014-7911 | 2011-10-26 |
| 1003147406 | Amanda Marie Diamond | Physician Assistant | 360 Station Drive, Suite 201, Crystal Lake, IL 60014-7978 | 2010-01-25 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60012 |
Please comment or provide details below to improve the information on CHRISTINE A. POTTER.
| 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.