Active NPI
Giesla Potter, RDN
- Registered Dietitian
- Martinsville, IN
National Provider Identifier
1356977540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 01001044
- Practice address
- 2209 John R Wooden Dr
Martinsville, IN 46151-1840 - Phone
- (765) 349-6736
- Fax
- (765) 349-6413
- NPI assigned
- Mar 19, 2020
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 01001044 | IN | Primary |
Addresses
Primary practice location
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Mailing address
2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 349-6736
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01001044 | IN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584576000000",
"number": "1356977540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 JOHN R WOODEN DR",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511840",
"telephone_number": "765-349-6736",
"fax_number": "765-349-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 JOHN R WOODEN DR",
"city": "MARTINSVILLE",
"state": "IN",
"postal_code": "461511840",
"telephone_number": "765-349-6736",
"fax_number": "765-349-6413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "GIESLA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-19",
"last_updated": "2020-03-19",
"certification_date": "2020-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "01001044",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinsville, IN
- Michael Anthony Phelps, D.C.
- Philip H. Nowak, O.D., P.C.
- Pinnacle Treatment Centers in-I, LLC (Recovery Works Morgan)
- Pinnacle Treatment Centers in-I, LLC (Recovery Works Martinsville)
- Pinnacle Treatment Centers in-II, LLC (Martinsville Treatment Services)
- Proactive Mso, LLC (Municipal Health Center)
- Promptserve Family Medicine LLC
- Putnam County Hospital (The Waters of Martinsville)
- Tonette Ramion
- Ankita Ranga, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.