VICTORIA POTTS (NPI# 1285247411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285247411 |
| Entity Type | Individual |
| Full Name | VICTORIA POTTS |
| Credential | CAA |
| Practice Address |
4201 Belfort Rd Jacksonville FL 32216-1431 |
| Mailing Address |
7385 Park Village Dr Apt 1413 Jacksonville FL 32256-8024 |
| Practice Telephone | 3144562234 |
| Mailing Telephone | 3144562234 |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154824373 | Victoria Leanne Potts | Case Manager/Care Coordinator | 647 Wall St, Sevierville, TN 37862-5923 | 2018-03-14 |
| Street Address |
4201 BELFORT RD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205823267 | Michael Gordon Maxwell | Emergency Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2005-10-04 |
| 1003442005 | Yu-chun Li | Nurse Practitioner | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2020-03-21 |
| 1265963680 | Tanner Miles | Emergency Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2017-03-27 |
| 1437522638 | Shela Towanna Mainor | Physician Assistant | 4201 Belfort Rd, St. Vincent's Medical Center Southside, Jacksonville, FL 32216-1431 | 2015-11-10 |
| 1275914269 | Neonila Zhukivskyy | Internal Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2015-06-15 |
| 1689063406 | Elite Hospitalist Group | Internal Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2015-01-16 |
| 1689929903 | Lorilee Olmoguez | Pharmacist | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2012-07-24 |
| 1518212547 | Happy Farouk Sadiek | Internal Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2012-07-16 |
| 1285991802 | Kimberlie Stickney | Physician Assistant | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2012-04-20 |
| 1235445537 | Jennifer Burke Johnson | Emergency Medicine | 4201 Belfort Rd, Jacksonville, FL 32216-1431 | 2010-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1538535711 | Zeyla Rivero | Anesthesiologist Assistant | 11430 Tiara Way E, Jacksonville, FL 32223-7860 | 2015-08-11 |
| 1902206584 | Maria Williamson | Anesthesiologist Assistant | 1815 Bayard Pl, Jacksonville, FL 32205-8803 | 2014-09-02 |
| 1659705655 | Jessica Hyams Kennedy | Anesthesiologist Assistant | 820 Prudential Dr Ste 606, Jacksonville, FL 32207-8208 | 2013-08-26 |
| 1194003228 | Miguel Mancao IIi | Anesthesiologist Assistant | 10199 Southside Blvd Ste 101, Jacksonville, FL 32256-0757 | 2011-07-22 |
| 1760090302 | Matthew Ryan Jones | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-20 |
| 1295353407 | Taylor Rush Cowart | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-14 |
| 1891313268 | Mariah Anne Hiott | Anesthesiologist Assistant | 800 Prudential Dr, Jacksonville, FL 32207-8202 | 2020-07-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.