Individual provider Active NPI

Hannah Potler, NP-BC

  • Registered Nurse
  • Waltham, MA
National Provider Identifier
1598288987
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1479784 Issued in MA
Practice address
85 1St Ave
Waltham, MA 02451-1105
Phone
(781) 647-7246
NPI assigned
Jul 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1479784 MA Primary

Addresses

Primary practice location

85 1St Ave
Waltham, MA 02451-1105

Mailing address

16 Elmfield Rd
Framingham, MA 01701-3333
Phone (413) 626-2758

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

LicenseStateTypeSpecialty
1479784MAMDRegistered Nurse

Interoperability endpoints

  • Direct secure messaging: hannah.potler.p1@direct.bostonpaincare.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1598288987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 ELMFIELD RD",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013333",
            "telephone_number": "413-626-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 1ST AVE",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511105",
            "telephone_number": "781-647-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTLER",
        "first_name": "HANNAH",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-18",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "1479784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.