Elizabeth Eve Potter

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6997617-4405 Issued in UT

Practice address

1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236

Phone

(801) 266-3418

Fax

(801) 266-4174

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr John Foley LLC

  • Neurology Physician
  • Salt Lake City, UT
  • NPI 1437330974

  UT

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2020.

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1639738545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741729",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 E 3900 S STE 2000",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241236",
            "telephone_number": "801-266-3418",
            "fax_number": "801-266-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "ELIZABETH",
        "middle_name": "EVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "6997617-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Post, MD
• Nathan Anthony Postel
• Shawn Postma, NMD
• Joshua Ryan Potrzeba, PHARM.D., BCGP
• Clinton Wayne Potter, PA-C
• Holly Potter
• Jenna M. Potter
• Mary Potter
• Michael David Potter
• Olivia Potter

• All providers in Salt Lake City, UT
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.