D'Ovionne Nydasia Potter

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Practice address

202 Chapman LN
Columbia, TN 38401-2622

Phone

(931) 698-8359

NPI assigned

Aug 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1346897022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 CIRCLE DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014430",
            "telephone_number": "931-490-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHAPMAN LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012622",
            "telephone_number": "931-698-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "D'OVIONNE",
        "middle_name": "NYDASIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Churchwell Pogue, FNP
• Rodney A. Poling, MD
• Georgena Willena Porter-Wilson
• Jessica Ann Porter, BS
• James Rogers Potrter
• Hailey Potts
• Kelly Suzanne Powell, FNP-C
• Krystal Powell, M.S., CCC-SLP
• Lindsay Lorre Powell, RN
• Carey Bateman Powers, NP

• Physical Disabilities Residential Treatment Facility in Columbia, TN
• Providers in Columbia, TN by specialty
• Physical Disabilities Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.