Kenner Potter

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

9740 S Tacoma Way
Tacoma, WA 98499-4456

Phone

(253) 652-0353

NPI assigned

Oct 28, 2015

Sex

Male

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)

Not enrolled

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1003288242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31701 50TH AVE E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983289268",
            "telephone_number": "425-891-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9740 S TACOMA WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984994456",
            "telephone_number": "253-652-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KENNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germe J Poston, LICSWA
• Lore E Poteet, CRNA
• Sankeerth Potluri, DO
• Debra Lynn Potter, DPT
• Jennifer H Potter, DO
• Kerry Potter
• Mark Blaine Potter, D.O.
• Rosangela Potter
• Louis David Potyondy, M.D.
• Donna Jeanne Poucel, M.D.

• Behavior Analyst in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.