Active NPI
Lisa M Potzernitz
- Case Management Agency
- Jackson, WY
National Provider Identifier
1003149402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LISA M POTZERNITZ
- Practice address
- 3066 Rangeview # 3
Jackson, WY 83001 - Phone
- (307) 733-4119
- Fax
- (307) 733-4119
- NPI assigned
- Sep 16, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Marie Potzernitz
- Title
- Case Manager
- Phone
- (307) 733-4119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
3066 Rangeview # 3
Jackson, WY 83001
Mailing address
3066 Rangeview # 3
Jackson, WY 83001
Phone (307) 733-4119
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Jackson, WY
- NPI 1942417027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253059200000",
"number": "1003149402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3066 RANGEVIEW # 3",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-733-4119",
"fax_number": "307-733-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3066 RANGEVIEW # 3",
"city": "JACKSON",
"state": "WY",
"postal_code": "83001",
"telephone_number": "307-733-4119",
"fax_number": "307-733-4119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA M POTZERNITZ",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-16",
"last_updated": "2009-09-16",
"status": "A",
"authorized_official_last_name": "POTZERNITZ",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "CASE MANAGER",
"authorized_official_telephone_number": "307-733-4119"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.