Individual provider Active NPI

Julie Katherine Potter, D.C. PHD

  • Chiropractor
  • Coralville, IA
National Provider Identifier
1346556479
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7668 Issued in IA
Practice address
2461 10TH St Ste 11
Coralville, IA 52241-1201
Phone
(319) 351-4090
NPI assigned
Aug 26, 2010
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7668 IA Primary

Addresses

Primary practice location

2461 10TH St Ste 11
Coralville, IA 52241-1201

Mailing address

2461 10TH St Ste 11
Coralville, IA 52241-1201
Phone (319) 351-4090

Other practice location 1

414 Highland Ct
Suite 2
Iowa City, IA 52240-4518
Phone (319) 351-3541

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
Doctor of Philosophy

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1346556479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2461 10TH ST STE 11",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411201",
            "telephone_number": "319-351-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2461 10TH ST STE 11",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411201",
            "telephone_number": "319-351-4090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Highland Ct",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522404518",
            "country_code": "US",
            "telephone_number": "319-351-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTER",
        "first_name": "JULIE",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C. PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "7668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.