Suzanne H Potvin, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2123P Issued in KY

Practice address

2400 Eastpoint Pkwy
Suite 550
Louisville, KY 40223-4154

Phone

(502) 253-6630

Fax

(502) 253-6639

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1467557652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950248",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950248",
            "telephone_number": "502-489-5730",
            "fax_number": "502-489-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EASTPOINT PKWY",
            "address_2": "SUITE 550",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234154",
            "telephone_number": "502-253-6630",
            "fax_number": "502-253-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTVIN",
        "first_name": "SUZANNE",
        "middle_name": "H",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2123P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "1064753",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100007420",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Sue Potts, APRN, FNP-C
• Macey Michelle Potts, DMD
• Megan Potts
• Melissa Hite Potts, M.D.
• Tyler Potts
• Stephanie Pound, LPCC-S
• Nader Pour-Ghasemi, DMD
• Sara L Pourheydarian, O.D.
• Zachary Dylan Powars, DPT
• Ruth Powderly, DDS

• Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.