KIM DENISE POTTER (NPI# 1992154496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992154496 |
| Entity Type | Individual |
| Full Name | KIM DENISE POTTER |
| Credential | LPN |
| Practice Address |
19 Sundown Dr Bellport NY 11713-1133 |
| Practice Telephone | 6312053823 |
| Mailing Telephone | 6312053823 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 284000-1 | NY | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02878962 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124100664 | Kim Potter | Pharmacist | 131 W Taylor St, Griffin, GA 30223-3046 | 2006-10-20 |
| Street Address |
19 SUNDOWN DR |
| City | BELLPORT |
| State | NY |
| Zip Code | 11713-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1437592557 | Rachel Boykin | Licensed Practical Nurse | 654 Meade Avenue, Bellport, NY 11713 | 2013-04-08 |
| 1922383702 | Gabrielle Maria Coyne | Student in an Organized Health Care Education/Training Program | 35 Kreamer Street, Bellport, NY 11713 | 2011-10-12 |
| 1003124595 | Cathy Jean Ekstrom | Speech-Language Pathologist | 352 Martha Ave, Bellport, NY 11713 | 2010-09-17 |
| 1841440401 | Colline Ann Murphy | Licensed Practical Nurse | 755 Bourdois Ave, Bellport, NY 11713 | 2008-09-19 |
| 1134398209 | Althea Lavernie Bullen | Registered Nurse | 548 Bellport Ave, Bellport, NY 11713 | 2008-02-22 |
| 1366646689 | Erica Martin | Counselor | 11 Farber Drive Unit D, Bellport, NY 11713 | 2007-06-12 |
| 1316153109 | Serenity Enterprises Inc | Counselor | 27 Champlin Avenue, Bellport, NY 11713 | 2007-05-16 |
| 1972641256 | Anne Dooling | Social Worker | 56 Bieselin Road, Bellport, NY 11713 | 2007-02-01 |
| Find all providers in zip 11713 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405089 | Maranatha Fils Aime | Licensed Practical Nurse | 76 Fuoco Rd, Bellport, NY 11713-2020 | 2020-07-23 |
| 1881218709 | Vanessa Leigh Monteith | Licensed Practical Nurse | 18 Carver Blvd, Bellport, NY 11713-2111 | 2020-06-05 |
| 1235695149 | Scott William Wade | Licensed Practical Nurse | 29 Circuit Rd, Bellport, NY 11713-2903 | 2019-02-15 |
| 1447728142 | Natalie Ramona Gonzaque | Licensed Practical Nurse | 642 Macdonald Ave, Bellport, NY 11713-1649 | 2018-11-12 |
| 1194268821 | Roshonda Robinson | Licensed Practical Nurse | 736 Michigan Ave, Bellport, NY 11713-1621 | 2016-11-29 |
| 1730621210 | Jessica Henderson-gray | Licensed Practical Nurse | 735 Walker Ave, Bellport, NY 11713 | 2016-11-15 |
| 1184166969 | Eshelai Jainese Fitzgerald | Licensed Practical Nurse | 138 New Jersey Ave, Bellport, NY 11713 | 2016-11-10 |
| 1184094807 | Karina Alexandra Lopez | Licensed Practical Nurse | 571 Brookhaven Ave, Bellport, NY 11713-1675 | 2015-10-07 |
| 1730587361 | Victoria Shukri | Licensed Practical Nurse | 60 Bieselin Rd, Bellport, NY 11713-2328 | 2014-12-14 |
| 1275951014 | Peter Robert Drago Sr. | Licensed Practical Nurse | 1832 Wisteria Cir, Bellport, NY 11713-3056 | 2014-03-30 |
| Find all providers in BELLPORT | ||||
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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.