Active NPI
Kaylee Potter
- Other Specialist/Technologist
- Indianapolis, IN
National Provider Identifier
1093535866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 1028 Virginia Ave
Indianapolis, IN 46203-1712 - Phone
- (317) 384-3491
- Fax
- (407) 650-2754
- NPI assigned
- Oct 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | IN | Primary |
Addresses
Primary practice location
1028 Virginia Ave
Indianapolis, IN 46203-1712
Mailing address
9346 S County Road 765 W
Reelsville, IN 46171-8860
Phone (317) 384-3491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vanity Tattoo | Single Specialty | Current | Accepting new patients |
Locations
1201 E Main St
Ste B
Plainfield, IN 46168
Phone (317) 384-3491
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1093535866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9346 S COUNTY ROAD 765 W",
"city": "REELSVILLE",
"state": "IN",
"postal_code": "461718860",
"telephone_number": "317-384-3491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 VIRGINIA AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462031712",
"telephone_number": "317-384-3491",
"fax_number": "407-650-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "KAYLEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-15",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.