Lisa Anne Pottasch, APRN

Primary specialty

Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X

License

004652 Issued in CT

Practice address

4Berkshire Boulevard
Ability Beyond Disability
Bethel, CT 06801

Phone

(203) 775-4700

Fax

(203) 775-8028

NPI assigned

Jul 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1104114545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4BERKSHIRE BOULEVARD",
            "address_2": "ABILITY BEYOND DISABILITY",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "06801",
            "telephone_number": "203-775-4700",
            "fax_number": "203-775-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4BERKSHIRE BOULEVARD",
            "address_2": "ABILITY BEYOND DISABILITY",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "06801",
            "telephone_number": "203-775-4700",
            "fax_number": "203-775-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTASCH",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "CT",
            "license": "004652",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NY",
            "license": "F305500-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Philpott, O.D.
• Jaime Green Pinto, LMSW
• Christopher Martin Pioli
• Geraldine Poirier, CCC/SLP
• Sri Popuri
• Sujata Pradhan-Peck
• Preferred Therapy Outpatient Services, LLC
• Protea Physical Therapy & Wellness LLC
• R & S Desai PLLC
• Samantha Rambusch

• Adult Health Clinical Nurse Specialist in Bethel, CT
• Providers in Bethel, CT by specialty
• Adult Health Clinical Nurse Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.