Active NPI
Jennifer Elizabeth Potter
- Adult Companion
- Omaha, NE
National Provider Identifier
1639819907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 9129 Ames Ave
Omaha, NE 68134-3953 - Phone
- (402) 972-7682
- NPI assigned
- Apr 1, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | NE | ||
| Developmentally Disabled Services Day Training Agency | 251C00000X | NE | ||
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
9129 Ames Ave
Omaha, NE 68134-3953
Mailing address
9129 Ames Ave
Omaha, NE 68134-3953
Phone (402) 997-2768
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755820800000",
"number": "1639819907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9129 AMES AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343953",
"telephone_number": "402-997-2768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9129 AMES AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343953",
"telephone_number": "402-972-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "JENNIFER",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2025-08-22",
"certification_date": "2025-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.