Active NPI
Donna M Potter, NP
- Adult Health Nurse Practitioner
- Hyannis, MA
National Provider Identifier
1346215142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 176514
- Practice address
- 100 Camp St
Hyannis, MA 02601-3063 - Phone
- (508) 775-1984
- Fax
- (508) 790-1897
- NPI assigned
- Feb 23, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 176514 | MA | Primary |
Addresses
Primary practice location
100 Camp St
Hyannis, MA 02601-3063
Mailing address
100 Camp St
Hyannis, MA 02601-3063
Phone (508) 775-1984
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4243 | Other | MA | BCBS |
Other names 1
- Donna M Doherty
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176514 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J. Hoenig, MD, PC | Past | Accepting new patients | |
| Cape Cod Healthcare, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Hyannis, MA
- NPI 1588992416
-
- Vascular Surgery Physician
- Leominster, MA
- NPI 1578561569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1346215142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CAMP ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013063",
"telephone_number": "508-775-1984",
"fax_number": "508-790-1897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CAMP ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026013063",
"telephone_number": "508-775-1984",
"fax_number": "508-790-1897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "DONNA",
"middle_name": "M",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "176514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NP4243",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "DOHERTY",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.