Courtney Potter, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

342688 Issued in NY

Practice address

5 Bright St
Lockport, NY 14094-4103

Phone

(716) 994-5921

NPI assigned

Aug 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maxim Healthcare Services

  • Nursing Care Agency
  • Lockport, NY
  • NPI 1154159929
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1306670302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 PHEASANT RUN RD",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142281867",
            "telephone_number": "716-994-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRIGHT ST",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140944103",
            "telephone_number": "716-994-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "COURTNEY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "NY",
            "license": "342688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "securerecords.sanford.html",
            "affiliation": "N",
            "address_1": "5 Bright St",
            "city": "Lockport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140944103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffanie Poeller
• Joann Pollow
• Katie Poltorak
• Gregory Philip Potempa, D.D.S.
• Michele Ann Potempa, MD
• Donna Joan Powers, MS/SLP TSHH
• Huberto Prado, MD
• Preferred Home Care Inc.
• Erica Danielle Preisch, NP
• Leana Prokoshev, RN

• Licensed Vocational Nurse in Lockport, NY
• Providers in Lockport, NY by specialty
• Licensed Vocational Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.