Brittany A Potter, RD CDCES
Individual provider Active NPI Registered Dietitian · Jasper, IN
NPI 1124485552 · NPPES record last updated Mar 21, 2023
Key facts
- NPI
- 1124485552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 37002449A (IN)
- Practice address
- 1536 Gregory LN
Jasper, IN 47546-9113 - Phone
- (812) 887-4521
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ND11182 | FL | MD | Registered Dietitian |
| 37002449A | IN | MD | Registered Dietitian |
| 275800 | KY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 275800 | KY | |
| Registered Dietitian | 133V00000X | ND11182 | FL | |
| Registered Dietitian | 133V00000X | 37002449A | IN | Yes |
Addresses
Primary practice location
1536 Gregory LN
Jasper, IN 47546-9113
Mailing address
1536 Gregory LN
Jasper, IN 47546-9113
Phone (812) 887-4521
Other names
- Brittany A McCarel
Other providers in Jasper, IN
- David Ryan Phillips
- Kimberly Jo Phillips
- Piece by Piece Counseling Center, LLC
- Nikki Michelle Pirtle
- Playful Healing & Counseling
- Janessa Potts
- Priorityyou Health Center
- Natalie Renee Pryor
- PT for Kids, Inc
- Courtney Renee Puckett
All providers in Jasper, IN · Registered Dietitian in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.