Individual provider Active NPI

Karen V Potampa, NMNP-PP

  • Family Nurse Practitioner
  • Madras, OR
National Provider Identifier
1174687867
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26221N1 Issued in OR
Practice address
76 NE 12TH St
Madras, OR 97741-1827
Phone
(541) 475-3874
Fax
(541) 475-3503
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26221N1 OR Primary

Addresses

Primary practice location

76 NE 12TH St
Madras, OR 97741-1827

Mailing address

76 NE 12TH St
Madras, OR 97741-1827
Phone (541) 475-3874

Other identifiers 1

IdentifierTypeStateIssuer
040407MedicaidOR

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26221N1ORMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14009/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1174687867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411827",
            "telephone_number": "541-475-3874",
            "fax_number": "541-475-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 NE 12TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411827",
            "telephone_number": "541-475-3874",
            "fax_number": "541-475-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTAMPA",
        "first_name": "KAREN",
        "middle_name": "V",
        "credential": "NMNP-PP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "26221N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040407",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.