Claudette D Potter, PMHN, BC

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

CERT 4080 Issued in CA

Practice address

1465 C St
#3401
San Diego, CA 92101-5738

Phone

(608) 217-0569

NPI assigned

Jun 5, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1619916830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 C ST",
            "address_2": "#3401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015738",
            "telephone_number": "608-217-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 C ST",
            "address_2": "#3401",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015738",
            "telephone_number": "608-217-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "CLAUDETTE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "PMHN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "CERT 4080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619916830",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie V Potrin
• Inshida Irshad Pottachilakath
• Sarah Ann Potter-Smith, PA-C
• Aaron Elery Potter
• Brandon Jay Potter
• Maisy Potter
• Melissa Rochelle Potter
• Paula Marie Potter, RN
• Eric G Potterat, PH.D.
• Colin Gerrard Pottie

• Adult Psychiatric/Mental Health Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.