SUSAN MARY POTTER (NPI# 1831270420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831270420 |
| Entity Type | Individual |
| Full Name | SUSAN MARY POTTER |
| Other Name | SUSAN MARY KELLY |
| Credential | FNP |
| Practice Address |
500 N Highland Ave Sherman TX 75092-7354 |
| Mailing Address |
7500 Rialto Blvd Ste 1-140 Austin TX 78735-8534 |
| Practice Telephone | 5127303056 |
| Practice Fax Number | 8887301925 |
| Mailing Telephone | 5127303056 |
| Mailing Fax Number | 8887301925 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 520140 | TX | Allopathic & Osteopathic Physicians |
| N | 363L00000X | Nurse Practitioner | 520140 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP106025 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP106025 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSS & BLUE SHIELD | 8N9964 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 S.w. 25th Avenue, Mineral Wells, TX 76067 | 9403287503 | |
| 609 Medical Center Dr, Decatur, TX 762343836 | 9406275921 | 9406261351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467909358 | Susan Beatrice Potter | Occupational Therapy Assistant | 384 Rugg Rd, Schuylerville, NY 12871-2020 | 2016-09-08 |
| 1104311638 | Susan Ann Potter | Nurse Practitioner | 51 N 39th St, Philadelphia, PA 19104-2640 | 2018-06-27 |
| 1578951794 | Susan Potter | Counselor | 389 Adams St, Afton, WY 83110-0376 | 2014-12-23 |
| 1700184165 | Susan J Potter | Physical Therapy Assistant | 710 N 39th Ave, Yakima, WA 98902-6342 | 2011-03-09 |
| 1730344581 | Susan Whitehead Potter | Audiologist-Hearing Aid Fitter | 11080 Hall Rd, Sterling Heights, MI 48314-1511 | 2008-07-22 |
| 1447318233 | Susan L Potter | Licensed Practical Nurse | 160 Allen St, Rutland, VT 05701-4560 | 2006-12-05 |
| 1336225770 | Susan L Potter | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2006-10-27 |
| 1871694166 | Susan Potter | Family Medicine | 6555 Coyle Ave, Carmichael, CA 95608-0302 | 2006-09-26 |
| 1669581757 | Susan Kaye Potter | Nurse Practitioner | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-08-30 |
| Street Address |
500 N HIGHLAND AVE |
| City | SHERMAN |
| State | TX |
| Zip Code | 75092-7354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275518250 | Anthony Bret Beaverson | Emergency Medicine | 500 N Highland Ave, Sherman, TX 75092-7354 | 2005-12-13 |
| 1902421399 | Melissa Stewart | Physical Therapist | 500 N Highland Ave, Sherman, TX 75092-7354 | 2020-06-10 |
| 1982196085 | Emergentology Associates | Emergency Medicine | 500 N Highland Ave, Sherman, TX 75092-7354 | 2018-06-04 |
| 1295262178 | Philomena Hamilton Mistretta | Nurse Practitioner | 500 N Highland Ave, Sherman, TX 75092-7354 | 2017-05-22 |
| 1740730605 | Sherman Anesthesia, Inc | Anesthesiology | 500 N Highland Ave, Sherman, TX 75092-7354 | 2016-10-04 |
| 1639538192 | Katherine Rasmussen Smith | Nurse Practitioner | 500 N Highland Ave, Ste W105, Sherman, TX 75092-7354 | 2016-02-12 |
| 1629468038 | Indus Anesthesia Consultants PC | Anesthesiology | 500 N Highland Ave, Sherman, TX 75092-7354 | 2015-01-23 |
| 1477892750 | United Pa Surgical Services of North Texas Pllc | Physician Assistant | 500 N Highland Ave, Sherman, TX 75092-7354 | 2013-02-06 |
| 1417205782 | Junior A. Taylor | Internal Medicine | 500 N Highland Ave, Sherman, TX 75092-7354 | 2012-08-16 |
| 1225320070 | Ebere Nmaezi Okeke | Internal Medicine | 500 N Highland Ave, Sherman, TX 75092-7354 | 2011-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869953 | Stokes & Carter Orthodontics, LLP | Clinic/Center | 2921 N. Heritage Parkway, Ste. 200, Sherman, TX 75092 | 2020-07-30 |
| 1033684543 | Brittany Shyrell Brown | Nurse Practitioner | 140 W. Lamberth Rd Ste. C, Sherman, TX 75092 | 2018-10-11 |
| 1134675333 | Sherman Select, LLC | Clinic/Center | 4226 Us Highway 75, North, Sherman, TX 75092 | 2016-08-28 |
| 1164884789 | Michelle Kay Triche | Nurse Practitioner | 1000 S. Heritage Parkway, Sherman, TX 75092 | 2016-03-23 |
| 1295109858 | Stokes Orthodontics | Dentist | 2921 N. Heritage Parkway, Suite 200, Sherman, TX 75092 | 2015-11-19 |
| 1851771810 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2210 N F.m. 1417, Sherman, TX 75092 | 2015-06-04 |
| 1629314133 | Ashley Nicole White | Counselor | 8370 Us Highway 82, Sherman, TX 75092 | 2013-01-02 |
| 1831452978 | M. Sue Jennings | Counselor | 402 W. Lamar St, Suite 104, Sherman, TX 75092 | 2012-06-22 |
| 1437447562 | Oscar Villafane | Optometrist | Long Vision Center, 2203 N Heritage Pkwy, Sherman, TX 75092 | 2011-07-11 |
| 1043443062 | Angela Renee Wright | Registered Nurse | 3415 North Heritage Parkway, Sherman, TX 75092 | 2009-08-25 |
| Find all providers in zip 75092 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854841 | Clayton Wade Starnes | Nurse Practitioner | 2726 N. Masters St., Sherman, TX 75090 | 2020-09-02 |
| 1003427907 | Leslie Barnett | Nurse Practitioner | 204 Medical Dr Ste 210, Sherman, TX 75092-6366 | 2020-08-13 |
| 1164068805 | Kaitlyn Tucker | Nurse Practitioner | 26 Knollwood Dr, Sherman, IL 62684-9559 | 2019-11-18 |
| 1306286307 | Acute Care & Family Clinic of Sherman, LLC | Nurse Practitioner | 608 Highway 178, Sherman, MS 38869 | 2013-07-05 |
| 1366886996 | Patricia Ann Martinez-morales | Nurse Practitioner | 1522 Crescent Dr, Sherman, TX 75092-5582 | 2013-04-25 |
| 1124266275 | Julia Kaye Beshears | Nurse Practitioner | 425 N Highland Ave Ste 200, Sherman, TX 75092-7383 | 2009-01-28 |
| 1407966625 | Frances W. Herod LLC | Nurse Practitioner | 670 Hwy 178, Suites 2 & 3, Sherman, MS 38869-0188 | 2006-08-30 |
| 1912013988 | Diane Ruth Elbers Keahey | Nurse Practitioner | 1117 Gallagher Dr, Suite 450, Sherman, TX 75090-1797 | 2006-08-22 |
| 1740396712 | Nancy J Davis | Nurse Practitioner | 1000 Heritage Pkwy, Sherman, TX 75092-4865 | 2006-08-22 |
| 1013900703 | Dori A Poe | Nurse Practitioner | 300 N Highland Ave, Suite 415, Sherman, TX 75092 | 2005-08-26 |
| Find all providers in SHERMAN | ||||
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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.