Wendie Potter

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

182518 Issued in OH

Practice address

8440 Olenbrook Drive
Lewis Center, OH 43035

Phone

(631) 704-5688

NPI assigned

Jul 19, 2012

Last updated

Aug 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• On Demand Companion

  • Home Health Agency
  • Lewis Center, OH
  • NPI 1164253308
  NPD Authorized official

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1114272747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8440 OLENBROOK DR",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430350000",
            "telephone_number": "631-704-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 OLENBROOK DRIVE",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "43035",
            "telephone_number": "631-704-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "WENDIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300288",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "182518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poj Holdings LLC (We Rock The Spectrum Columbus)
• Vera Pokuaa
• Polaris Family and Sport Chiropractic Inc
• Polaris Medical Care
• Meaghan Rayann Porter, MD
• Precision Health LLC (PRECISION HEALTH and WELLNESS LLC)
• Dusty M. Price, APRN-CNP
• Professional Visioncare LLC
• Prospect Mental Health Services LLC
• Rachelle Lee Prosperi, OTR/L

• Licensed Practical Nurse in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.