Erika Elizabeth Pottebaum

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1415 Cedar St
Hull, IA 51239-7448

Phone

(712) 541-7105

NPI assigned

Oct 30, 2023

Last updated

Oct 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1205609559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 CEDAR ST",
            "city": "HULL",
            "state": "IA",
            "postal_code": "512397448",
            "telephone_number": "712-541-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 CEDAR ST",
            "city": "HULL",
            "state": "IA",
            "postal_code": "512397448",
            "telephone_number": "712-541-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTEBAUM",
        "first_name": "ERIKA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Glen Hurst, DDS
• Tarah Kooima, DPT
• Morning Glory Birth & Wellness
• Opco Hull, Ia, LLC (Pleasant Acres Care Center)
• Pleasant Acres Care Center, Inc. (Pleasant Acres Care Center)
• Premier Estates 505, LLC (Pleasant Acres Care Center)
• Scott Rens, MD
• Sanford Health Network (Lewis Family Drug #39)
• Sioux Center Health (Hull Medical Clinic)
• Leah Ann Vande Hoef

• Student in an Organized Health Care Education/Training Program in Hull, IA
• Providers in Hull, IA by specialty
• Student in an Organized Health Care Education/Training Program in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.