JENNIFER POTTER (NPI# 1558610436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558610436 |
| Entity Type | Individual |
| Full Name | JENNIFER POTTER |
| Practice Address |
785 100th Ave N # 108 St Petersburg FL 33702 |
| Practice Telephone | 7274885432 |
| Practice Fax Number | 8134905495 |
| Mailing Telephone | 7274885432 |
| Mailing Fax Number | 8134905495 |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209347 | Jennifer Mae Potter | Nurse Practitioner | 500 Arcade Ave Ste 200, Elkhart, IN 46514-2485 | 2012-10-02 |
| 1679800965 | Jennifer Paige Potter | Pharmacist | 3301 N 4th St, Longview, TX 75605-7959 | 2009-11-09 |
| 1881176295 | Jennifer Mccall Potter | Social Worker | 175 N Beacon St, Watertown, MA 02472-2790 | 2018-08-31 |
| 1225521461 | Jennifer Anne Potter | Social Worker | 500 Hancock St, Saginaw, MI 48602-4224 | 2018-06-12 |
| 1063904811 | Jennifer Lynn Potter | Social Worker | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2018-06-06 |
| 1669904561 | Jennifer Kneezel Potter | Emergency Medicine | 1000 Blythe Blvd, Cmc Department of Emergency Medicine, Charlotte, NC 28203-5812 | 2017-03-30 |
| 1649676792 | Jennifer Potter | Registered Nurse | 14701 E Exposition Ave, Aurora, CO 80012-2623 | 2014-11-17 |
| 1285909929 | Jennifer V. Potter | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908-0001 | 2012-03-13 |
| 1245519743 | Jennifer Ann Potter | Behavioral Analyst | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2011-08-15 |
| 1306139308 | Jennifer Lyn Potter | Speech-Language Pathologist | 4423 Shadowdale Dr, Houston, TX 77041-8718 | 2011-05-24 |
| Street Address |
785 100TH AVE N # 108 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419637 | Lea Diana Stemplewski | Occupational Therapist | 8950 Dr. Mlk Jr. St. North, Ste 190, St. Petersburg, FL 33702 | 2020-02-19 |
| 1366919557 | Svetlana Nagle | Nurse Practitioner | 10601 Gandy Blvd. N., 5305, St Petersburg, FL 33702 | 2018-10-25 |
| 1457835613 | Joseph Kirchmer | Physical Therapy Assistant | 7101 9th St N, St Petersburg, FL 33702 | 2018-09-23 |
| 1386135176 | Valencia Gibson | Behavior Technician | 8950 Doctor Martin Luther King Jr Street North, 190, Saint Petersburg, FL 33702 | 2018-05-29 |
| 1740778760 | Nicole S Kapr | Behavior Technician | 8950 Doctor Mlk Street North, 190, St. Petersburg, FL 33702 | 2018-04-25 |
| 1003316050 | Sonya Lesnefsky | Behavior Technician | 8950 Dr Mlk St N #190, Saint Petersburg, FL 33702 | 2018-02-16 |
| 1003315086 | Erin Nicole Rogers | Behavior Technician | 8950 Dr Mlk Jr St N, #190, St Petersburg, FL 33702 | 2018-02-06 |
| 1881192482 | Carrie Langbo | Genetic Counselor, MS | Informeddna, 877 Executive Center Drive W, Suite 206, St. Petersburg, FL 33702 | 2018-01-29 |
| 1891203485 | Healthy Lifestyles Tampa Bay LLC | Psychologist | 8479 Dr Martin Luther King Jr St N, St Petersburg, FL 33702 | 2018-01-17 |
| 1649787235 | Gurdeep Singh | Behavior Technician | 8950 Dr Mlk Street N, Suite 190, Saint Petersburg, FL 33702 | 2018-01-04 |
| Find all providers in zip 33702 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760669 | Dotheria Elaine Bradley | Case Manager/Care Coordinator | 1918 45th St S, St Petersburg, FL 33711-3042 | 2018-08-20 |
| 1902257116 | Anthony Costanzo | Case Manager/Care Coordinator | 5047 2nd Ave N, St Petersburg, FL 33710-8207 | 2016-06-29 |
| 1568823284 | Sisouk Rattanachane | Case Manager/Care Coordinator | 1501 83rd Ave N, St Petersburg, FL 33702-2851 | 2016-03-08 |
| 1952719858 | Elizabeth Lent | Case Manager/Care Coordinator | 350 79th Ave N Apt 302, St Petersburg, FL 33702-4459 | 2014-07-24 |
| 1346653458 | Leslie Swain | Case Manager/Care Coordinator | 7316 33rd St N, St Petersburg, FL 33702-5540 | 2014-06-05 |
| 1215364575 | Melissa Moody | Case Manager/Care Coordinator | 11401 Dr Martin L King St N, Apt.2404, St Petersburg, FL 33716-2345 | 2013-10-02 |
| 1538418520 | Nanci Nolan | Case Manager/Care Coordinator | 2401 3rd Ave N, St Petersburg, FL 33713-7909 | 2012-09-05 |
| 1932454212 | Carol Rose Opitz | Case Manager/Care Coordinator | 205 Martin Luther King Dr, St Petersburg, FL 33701-3109 | 2012-07-23 |
| 1336438688 | Bridget Denise Herring-daniels | Case Manager/Care Coordinator | 205 Mlk St N, St Petersburg, FL 33701-3109 | 2011-04-06 |
| 1720691595 | Georgette Franklin | Case Manager/Care Coordinator | 4024 Central Ave, St Petersburg, FL 33711-1239 | 2020-08-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33702 |
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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.