AMANDA POTTS (NPI# 1902369622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902369622 |
| Entity Type | Individual |
| Full Name | AMANDA POTTS |
| Credential | PA-C, MHS |
| Practice Address |
1625 Straits Tpke Ste 307 Middlebury CT 06762-1836 |
| Mailing Address |
68 Grove Rd North Haven CT 06473-2420 |
| Practice Telephone | 2037588995 |
| Mailing Telephone | 2033144514 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 4411 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194133785 | Amanda Potts | Massage Therapist | 3845 Mccoy Dr, #105, Aurora, IL 60504-4428 | 2014-07-26 |
| Street Address |
1625 STRAITS TPKE STE 307 |
| City | MIDDLEBURY |
| State | CT |
| Zip Code | 06762-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043720204 | Corey L. Jokl | Physician Assistant | 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 | 2017-10-02 |
| 1982219580 | Katrina Lorraine Greaves | Physician Assistant | 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 | 2020-09-10 |
| 1295373785 | Jeremy Ronald Baker | Physician Assistant | 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 | 2019-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164895314 | Naugatuck Valley Womens Health Specialists PC | Obstetrics & Gynecology | 686 Straits Turnpike, 2a, Middlebury, CT 06762 | 2015-11-10 |
| 1588047153 | Princess Corset & Lingerie Shop II, LLC | Durable Medical Equipment & Medical Supplies | 900 Straits Turnpike, Suite 1 G, Middlebury, CT 06762 | 2015-07-01 |
| 1437423985 | Gretchen R. Cianciola | Dental Hygienist | 12 Nantucket Way, Middlebury, CT 06762 | 2012-03-01 |
| 1124395223 | Tlc Homecare LLC | Home Health | 900 Straits Tpke Ste 205, Middlebury, CT 06762 | 2011-11-18 |
| 1588893952 | Catherine Ann Accashian | Occupational Therapist | 778 Middlebury Road, Middlebury Convalescent Center, Middlebury, CT 06762 | 2009-07-07 |
| 1013081819 | Waltor M Phillips | Psychologist | 415 Middlebury Road, Middlebury, CT 06762 | 2006-11-20 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1952366072 | John M Keggi | Orthopaedic Surgery | 1579 Straits Turnpike, Suite E, Orthopaedics New England PC, Middlebury, CT 06762 | 2006-04-20 |
| 1568443125 | Stanley J Foster IIi | Plastic Surgery | 1625 Straits Turnpike, Suite 108, Middlebury, CT 06762 | 2005-11-10 |
| 1932556602 | Karissa Piedescalzo | Social Worker | 850 Straits Tpke Ste 201, Middlebury, CT 06762 | 2016-05-23 |
| Find all providers in zip 06762 | ||||
| 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 |
|---|---|---|---|---|
| 1043720204 | Corey L. Jokl | Physician Assistant | 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 | 2017-10-02 |
| 1407101645 | Bailey Nicole Tresenriter | Physician Assistant | 801 Wayne St, Middlebury, IN 46540-9074 | 2012-07-13 |
| 1518922608 | W Kenneth Miner | Physician Assistant | 1579 Straits Turnpike, Turnpike Office Park, Middlebury, CT 06762 | 2006-04-20 |
| 1982219580 | Katrina Lorraine Greaves | Physician Assistant | 1625 Straits Tpke Ste 307, Middlebury, CT 06762-1836 | 2020-09-10 |
| 1790270825 | Timothy Raymond Lebel | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2018-07-01 |
| 1992239123 | Brian Joslin | Physician Assistant | 1436 Exchange St, Suite #2, Middlebury, VT 05753-4497 | 2017-04-14 |
| 1437519949 | Jennifer L Crowther | Physician Assistant | 1579 Straits Tpke, Middlebury, CT 06762-1835 | 2016-02-25 |
| 1831590454 | Michael Tanguay | Physician Assistant | 1625 Straits Tpke, Suite 200, Middlebury, CT 06762-1836 | 2014-09-15 |
| 1316296528 | Luc Hilaire Dupuis | Physician Assistant | 1436 Exchange St, Middlebury, VT 05753-4497 | 2012-09-04 |
| 1932403581 | Katie Owens | Physician Assistant | 115 Porter Dr, Middlebury, VT 05753-8423 | 2010-12-22 |
| Find all providers in MIDDLEBURY | ||||
| City | MIDDLEBURY |
| Zip Code | 06762 |
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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.