Individual provider Active NPI

Tamika Marie Potts, FNP-BC

  • Family Nurse Practitioner
  • East Liverpool, OH
National Provider Identifier
1639942394
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0035311 Issued in OH
Practice address
13577 Dray LN
East Liverpool, OH 43920-9594
Phone
(234) 736-7671
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0035311 OH Primary

Addresses

Primary practice location

13577 Dray LN
East Liverpool, OH 43920-9594

Mailing address

13577 Dray LN
East Liverpool, OH 43920-9594
Phone (234) 736-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250505002136 OH Practitioner - Nurse Practitioner 3779000682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Valley Physicians LLCGroup PAC ID 3971506932, 56 clinicians

Practice addresses (Care Compare)

601 Main St
Wellsville, OH 43968-1662
Phone (330) 362-4799

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Physicians, LLC CurrentSince May 5, 2025 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
City Hospital Association Past Accepting new patients
Comprehensive Behavioral Health Associates, Inc. Past Accepting new patients

Locations

15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183

15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

601 Main St
Wellsville, OH 43968
Phone (330) 362-4799

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBJFBA

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1639942394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13577 DRAY LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209594",
            "telephone_number": "234-736-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13577 DRAY LN",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209594",
            "telephone_number": "234-736-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "TAMIKA",
        "middle_name": "MARIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0035311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

Verify at the official NPI Registry.