HEATHER A POTTER (NPI# 1518031269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518031269 |
| Entity Type | Individual |
| Full Name | HEATHER A POTTER |
| Credential | ARNP |
| Practice Address |
115 Huston Dr Suite 1 Shepherdsville KY 40165-7250 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5029557311 |
| Practice Fax Number | 5029559694 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3003365 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3365P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78005717 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902262652 | Heather Potter | Contractor | 282 Broadmeadows Blvd Apt A, Columbus, OH 43214-1016 | 2016-01-11 |
| 1245512425 | Heather Potter | Chiropractor | 346 Moline St, Aurora, CO 80010-4707 | 2011-09-14 |
| 1962798991 | Heather M Potter | Physician Assistant | 945 Goethals Dr. Ste 310, Richland, WA 99352 | 2011-06-28 |
| 1699004564 | Heather Marie Potter | Physical Therapist | 25251 Paseo De Alicia Ste 201, Laguna Hills, CA 92653 | 2009-12-23 |
| 1013983584 | Heather Ad Potter | Ophthalmology | 2880 University Ave, Madison, WI 53705 | 2006-02-24 |
| Street Address |
115 HUSTON DR SUITE 1 |
| City | SHEPHERDSVILLE |
| State | KY |
| Zip Code | 40165-7250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003871518 | Stephen C. Payne | Family Medicine | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2006-04-18 |
| 1073168381 | Nathan Glen Hobbs | Physical Therapist | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2019-08-04 |
| 1528509460 | Amanda Jolene Parker | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2017-03-11 |
| 1851834295 | Ryan Hamilton | Physical Therapist | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2016-12-01 |
| 1992258347 | Christopher Hartlage | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2016-08-02 |
| 1073855433 | Libby Wilson Mims | Pediatrics | 115 Huston Dr, Suite 2, Shepherdsville, KY 40165-7250 | 2013-03-25 |
| 1477810687 | First Urology, Psc | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2012-04-12 |
| 1538337886 | Christina N. Caswell | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2008-02-20 |
| 1538295845 | Larry Madison Ryle | Internal Medicine | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2007-02-23 |
| 1629010889 | Charles Kevin Owens | Physical Therapist | 115 Huston Dr, Suite 3, Shepherdsville, KY 40165-7250 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357729 | Jennifer Gayle Stillwell | Licensed Practical Nurse | 202 Overlook Estates Drive, Shepherdsville, KY 40165 | 2020-08-18 |
| 1538701537 | Melody Lynn Royer | Technician | 164 Beagle Run, Shepherdsville, KY 40165 | 2019-10-10 |
| 1649726258 | Kentucky Cvs Pharmacy LLC | Pharmacy | 157 South Buckman Street, Shepherdsville, KY 40165 | 2016-09-01 |
| 1669866729 | Ashley Krages | Occupational Therapy Assistant | 143b Turtle Bay Ct Apt 5, Shepherdsville, KY 40165 | 2015-03-26 |
| 1548679020 | Debra F Schoenberg | Social Worker | 1305 S. Joe B Hall, Shepherdsviile, KY 40165 | 2014-08-08 |
| 1821438359 | Jon-michael Leblanc | Counselor | 130 S. Joe B. Hall Ave., Shepherdsville, KY 40165 | 2013-06-28 |
| 1750633178 | Lee Alan Roussel | Marriage & Family Therapist | 130 Joe B Hall, Shepherdsville, KY 40165 | 2012-10-09 |
| 1679822977 | Andrew T. Webb | Social Worker | 130 South Joe B. Hall Ave., Shepherdsville, KY 40165 | 2012-08-31 |
| 1306173737 | Enrica T Thomas | Social Worker | 815 John Harper Rd Unit 14, Shepherdsville, KY 40165 | 2009-11-05 |
| 1740452184 | Brian Woodring | Marriage & Family Therapist | 130 Vine St., Shepherdsville, KY 40165 | 2008-03-26 |
| Find all providers in zip 40165 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235773532 | John Bryant Coots Jr. | Nurse Practitioner | 210 Cloverwood Ln, Shepherdsville, KY 40165-9263 | 2019-10-30 |
| 1235672726 | Kim Bagby | Nurse Practitioner | 235 Chimney Rock Dr, Shepherdsville, KY 40165-6247 | 2016-12-01 |
| 1437498136 | All About Family Healthcare LLC | Nurse Practitioner | 226 Old Preston Hwy N, Suite 5, Shepherdsville, KY 40165-9233 | 2013-01-31 |
| 1881673515 | Karen Marie Scheich | Nurse Practitioner | 130 W Joe B Hall Ave, Shepherdsville, KY 40165-6028 | 2006-01-11 |
| 1477036994 | Katherine Paige Thompson | Nurse Practitioner | 115 Huston Dr Ste 1, Shepherdsville, KY 40165-7250 | 2018-09-11 |
| 1457839102 | Susan Scuffle | Nurse Practitioner | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2018-08-04 |
| 1528509460 | Amanda Jolene Parker | Nurse Practitioner | 115 Huston Dr, Shepherdsville, KY 40165-7250 | 2017-03-11 |
| 1003272261 | Kaelin Jansen | Nurse Practitioner | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165-7252 | 2016-01-04 |
| 1295111706 | Sally Ann Fogg | Nurse Practitioner | 185 Adam Shepherd Pkwy, Shepherdsville, KY 40165-6578 | 2015-08-06 |
| 1619359387 | Katherine Redmon | Nurse Practitioner | 802 Overhill Dr, Business Office, Shepherdsville, KY 40165 | 2015-06-18 |
| Find all providers in SHEPHERDSVILLE | ||||
| City | SHEPHERDSVILLE |
| Zip Code | 40165 |
Please comment or provide details below to improve the information on HEATHER 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.