Active NPI
Carole Potter
- Ambulance
- Ewing, NE
National Provider Identifier
1588089908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1112
- Practice address
- 510 E Nebraska Street
Ewing, NE 68735 - Phone
- (402) 626-7262
- NPI assigned
- Feb 21, 2014
- Last updated
- Feb 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulance | 341600000X | 1112 | NE | Primary |
Addresses
Primary practice location
510 E Nebraska Street
Ewing, NE 68735
Mailing address
PO Box 367
Ewing, NE 68735-0367
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 |
|---|---|---|---|
| 1112 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ewing Rural Fire District 5 | Ambulance | Past | Accepting new patients |
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": "1392940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1588089908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 367",
"city": "EWING",
"state": "NE",
"postal_code": "687350367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 E NEBRASKA STREET",
"city": "EWING",
"state": "NE",
"postal_code": "68735",
"telephone_number": "402-626-7262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "CAROLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-21",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NE",
"license": "1112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ewing, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.