Active NPI
Fleshia Lynn Poteet, CFA
- Surgical Technologist
- Bowling Green, KY
National Provider Identifier
1306047758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- SA153
- Practice address
- 1300 Andrea St Ste 105
Bowling Green, KY 42104-3382 - Phone
- (270) 781-0177
- Fax
- (270) 782-6023
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | SA153 | KY | Primary |
Addresses
Primary practice location
1300 Andrea St Ste 105
Bowling Green, KY 42104-3382
Mailing address
1300 Andrea St Ste 105
Bowling Green, KY 42104-3382
Phone (270) 781-0177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000489406 | Other | KY | ANTHEM PROVIDER NUMBER |
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 |
|---|---|---|---|
| SA153 | KY | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306047758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 ANDREA ST STE 105",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043382",
"telephone_number": "270-781-0177",
"fax_number": "270-782-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 ANDREA ST STE 105",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043382",
"telephone_number": "270-781-0177",
"fax_number": "270-782-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTEET",
"first_name": "FLESHIA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "CFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "KY",
"license": "SA153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000489406",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.