Kristine Potter, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

923 Issued in KS

Practice address

141 Market PL
Suite 203
Fairview Heights, IL 62208-2034

Phone

(618) 398-4118

Fax

(847) 881-9640

NPI assigned

Jun 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003019746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 MARKET PL",
            "address_2": "SUITE 203",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082034",
            "telephone_number": "618-398-4118",
            "fax_number": "847-881-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MARKET PL",
            "address_2": "SUITE 203",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082034",
            "telephone_number": "618-398-4118",
            "fax_number": "847-881-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KRISTINE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Phillips
• Ronald Pizzo, O.D.
• Planned Parenthood Great Rivers-Illinois
• Planned Parenthood of the St. Louis Region and Southwest Missouri
• Pontiac-WM Holliday SD 105
• Emily K Powers, PHARM. D.
• Prairie State Anesthesia Associates, PLLC
• Preferred Behavioral Health Mso, Inc. (Preferred Behavioral Health)
• James Price
• Amberlee Nicole Pritchard, DC

• Speech-Language Pathologist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.