Christie Rose Potter, APRN
Individual provider Active NPI Family Nurse Practitioner · Happy, KY
NPI 1184178592 · NPPES record last updated Aug 15, 2016
Key facts
- NPI
- 1184178592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 3010615 (KY)
- Practice address
- 397 Upper Doty Branch Rd
Happy, KY 41746-8951 - Phone
- (303) 901-0526
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3010615 | KY | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3010615 | KY | Yes |
Addresses
Primary practice location
397 Upper Doty Branch Rd
Happy, KY 41746-8951
Mailing address
PO Box 1132
Seneca, IL 61360-1132
Phone (303) 901-0526
Other providers in Happy, KY
- Early Developmental Interventions Inc
- Mishaela Leann Feltner
- Janice Irene Fields
- Kentucky River District Health Department
- Mountain Comprehensive Health Corporation
- Allison Pratt
All providers in Happy, KY · Family Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2016. 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.