Cynthia Nmi Potter, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

75690-030 Issued in WI

Practice address

615 W Moreland Blvd
Waukesha, WI 53188-2462

Phone

(262) 896-8430

Fax

(262) 896-8387

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cynthia Krass Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1457551020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7343 MAPLE TER",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133152",
            "telephone_number": "414-774-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W MORELAND BLVD",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531882462",
            "telephone_number": "262-896-8430",
            "fax_number": "262-896-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "CYNTHIA",
        "middle_name": "NMI",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "75690-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KRASS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devin Popovich, SAC-IT
• Mandy Lynn Porter Dosti, M.S., PA-C
• Robert K Porter, MSW
• Kayla Post, M.A., CF-SLP
• Jennifer Potratz
• Jenna M Potters, RN
• Rebecca Potts, PMHNP-BC
• Practice Management Group Inc (Eagle Medical Center)
• Adrien Prah, LPC
• Matthew A. Pratt, LPC-IT

• Registered Nurse in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.