Cassandra Nicole Potter

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

5820 Herritage Landing Dr.
Syracuse, NY 13507

Phone

(315) 701-1107

NPI assigned

Oct 17, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1013633403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 HERRITAGE LANDING DR.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13507",
            "telephone_number": "315-701-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 HERRITAGE LANDING DR.",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13507",
            "telephone_number": "315-701-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "CASSANDRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "607-748-7247",
            "affiliation": "N",
            "address_1": "626 West Main Street",
            "city": "Endicott",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Poster, M.D.
• Valerie Potash, NP
• Dominica Potenza, LMHC, LPC, NCC
• Monica Potru, MBBS/M.D
• Ashley Potter
• Nicole Potter
• Olivia Marie Potter, FNP
• Ryan Potter, AU.D.
• Aarati Poudel, MD
• Pradish Poudel, MD

• Specialist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.