Ronnie Elizabeth Potts, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95012413 Issued in CA

Practice address

23638 Sky Harbor Rd.
Friant, CA 93626

Phone

(559) 316-6040

NPI assigned

Sep 25, 2019

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 names 1

• Ronnie Elizabeth Lange Former name

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1669023271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 ROAD 33 1/2",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368465",
            "telephone_number": "209-606-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23638 SKY HARBOR RD.",
            "city": "FRIANT",
            "state": "CA",
            "postal_code": "93626",
            "telephone_number": "559-316-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTS",
        "first_name": "RONNIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "LANGE",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Cable
• Amanda Lebda, AMFT
• Melissa Masri, MS, LMFT
• William Charles Parent, P.A.
• Bryan Peter Peters, PHARM.D.
• Diane Lee Ramirez, O.D.
• Frederick Reschman Reschman Jr., R.N.
• Table Mountain Rancheria Medical Center

• All providers in Friant, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.