Grace Potter, HIS

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

2024015357 Issued in MO

Practice address

1201 Wentzville Pkwy Ste 115
Wentzville, MO 63385-3498

Phone

(636) 922-5000

NPI assigned

May 10, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heartland Hearing Care

  • Hearing Instrument Specialist
  • Farmington, MO
  • NPI 1942033436
  NPD (past)

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1649028903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W COLUMBIA ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401705",
            "telephone_number": "636-219-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WENTZVILLE PKWY STE 115",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853498",
            "telephone_number": "636-922-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "GRACE",
        "credential": "HIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "2024015357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Therapies, LLC
• John Pilz, RPH
• Leah Elizabeth Pleasant, LCSW
• Chaney Brooke Pollard
• Megan R Porter, DC
• Preferred Family Healthcare
• Premier Healthcare Consultants LLC
• Premier Surgical Assisting, LLC
• Dawn Marie Prentice, LCSW
• Laura Price-Bourisaw, D.C.

• Hearing Instrument Specialist in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Hearing Instrument Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.