NPIMap

Organization Active NPI

Full Potential

  • Health Maintenance Organization
  • Alexander, AR
National Provider Identifier
1346513637
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
OT-A471 Issued in AR
Legal business name
FULL POTENTIAL
Practice address
1032 Skyline Dr
Alexander, AR 72002-1749
Phone
(870) 814-5180
NPI assigned
Feb 16, 2012
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Ms. Wanda Nelson
Title
Biller
Phone
(501) 562-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X OT-A471 AR Primary

Addresses

Primary practice location

1032 Skyline Dr
Alexander, AR 72002-1749

Mailing address

1032 Skyline Dr
Alexander, AR 72002-1749
Phone (870) 814-5180

National Provider Directory

National Provider Directory
Tax ID family
Full Potential4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1346513637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032 SKYLINE DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021749",
            "telephone_number": "870-814-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032 SKYLINE DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720021749",
            "telephone_number": "870-814-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "501-562-5400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "AR",
            "license": "OT-A471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.