Active NPI
Paulette Jenevieve Potter, SLP
- Speech-Language Pathologist
- Alice, TX
National Provider Identifier
1225513005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 102354
- Practice address
- 606 Coyote TRL
Alice, TX 78332-4004 - Phone
- (830) 285-4645
- Fax
- (830) 285-4645
- NPI assigned
- Sep 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 102354 | TX | Primary |
Addresses
Primary practice location
606 Coyote TRL
Alice, TX 78332-4004
Mailing address
600 West Orange Avenue
Orange Grove, TX 78372
Phone (830) 285-4645
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102354 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1225513005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 WEST ORANGE AVENUE",
"city": "ORANGE GROVE",
"state": "TX",
"postal_code": "78372",
"telephone_number": "830-285-4645",
"fax_number": "830-285-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 COYOTE TRL",
"city": "ALICE",
"state": "TX",
"postal_code": "783324004",
"telephone_number": "830-285-4645",
"fax_number": "830-285-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "PAULETTE",
"middle_name": "JENEVIEVE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "102354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alice, TX
- Parpim Petersen
- Dragan Petri, OT
- Planned Parenthood Association of Cameron and Willacy Counties
- Platinum Angels Home Health Services LLC
- Platinum Horses, LLC
- Mandee Powell, SLP
- Premiere Angel Care Home Health
- Premiere Angel Care Home Health LLC
- Premiere Angel Care Hospice LLC
- Premiere Express Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.