Individual provider Active NPI

Natasha Potts

  • Speech-Language Assistant
  • Crystal River, FL
National Provider Identifier
1104545649
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI7292 Issued in FL
Practice address
315 NE 10TH Ave
Crystal River, FL 34429-4456
Phone
(352) 795-7006
NPI assigned
Aug 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI7292 FL Primary

Addresses

Primary practice location

315 NE 10TH Ave
Crystal River, FL 34429-4456

Mailing address

4308 Dewberry St
Spring Hill, FL 34608-3219
Phone (352) 999-1905

Other identifiers 1

IdentifierTypeStateIssuer
SI7292OtherFLLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL superiortherapyemily@tampabay.rr.com

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

State licenses

LicenseStateTypeSpecialty
SI7292FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Therapy Services Inc CurrentSince Aug 28, 2022 Accepting new patients

Locations

315 NE 10th Ave
Crystal River, FL 34429
Phone (352) 795-7006

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": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1104545649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 DEWBERRY ST",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346083219",
            "telephone_number": "352-999-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE 10TH AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344294456",
            "telephone_number": "352-795-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "NATASHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI7292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "SI7292",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "superiortherapyemily@tampabay.rr.com",
            "affiliation": "N",
            "address_1": "315 NE 10th Ave",
            "city": "Crystal River",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344294456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal River, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.