Paulette Madeline Venzen-Potter

Primary specialty

Social WorkerTaxonomy code 104100000X

License

1-23450-1B Issued in VI

Practice address

1619 Sixth St
St Thomas, VI 00802-2635

Phone

(340) 777-7900

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The St Thomas East End Medical Center CorporationGroup PAC ID 1153366398, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The St Thomas East End Medical Center Corporation

  • Federal Public Health Clinic/Center
  • St Thomas, VI
  • NPI 1891799763

  VI

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1316587249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 ESTATE TUTU VLY",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008021744",
            "telephone_number": "340-998-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 SIXTH ST",
            "city": "ST THOMAS",
            "state": "VI",
            "postal_code": "008022635",
            "telephone_number": "340-777-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENZEN-POTTER",
        "first_name": "PAULETTE",
        "middle_name": "MADELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VI",
            "license": "1-23450-1B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usvi Medical Day Spa, LLC
• V I Home Care Agency LLC
• V I Natural Medicine
• V.I. Cytopathology
• Kathleen Marie Valentine, MASTERS
• VI Anesthesia Group
• VI Chiropractic L.L.C.
• VI Cosmetic Dental Group, LLC
• VI Government Hospital & Health Facilities Corp
• VI Government Hospital and Health Facilities Corp

• All providers in St Thomas, VI
• Social Worker in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.