Individual provider Active NPI

Lynda Diane Potswald, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1245481035
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60037039 Issued in WA
Practice address
6000 W Highway 98
Pensacola, FL 32512-0001
Phone
(850) 505-6601
NPI assigned
Oct 10, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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 AP60037039 WA Primary

Addresses

Primary practice location

6000 W Highway 98
Pensacola, FL 32512-0001

Mailing address

8779 Kennedy Dr
Pensacola, FL 32506-2928
Phone (360) 535-3550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60037039WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1245481035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8779 KENNEDY DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325062928",
            "telephone_number": "360-535-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 W HIGHWAY 98",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325120001",
            "telephone_number": "850-505-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTSWALD",
        "first_name": "LYNDA",
        "middle_name": "DIANE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60037039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.