Simon Potter, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

A00003031 Issued in WA

Practice address

187 Parfitt Way SW
Suite G110
Bainbridge Island, WA 98110-2595

Phone

(206) 214-7149

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1699926519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11745",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981105745",
            "telephone_number": "206-214-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 PARFITT WAY SW",
            "address_2": "SUITE G110",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102595",
            "telephone_number": "206-214-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "SIMON",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "A00003031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Peters, PH.D.
• Trina Ann Peterson, RN
• Kirk W Petheram, D.C.
• Teresa Piddington, LMP
• Robert Thomas Platt, MD
• Francine Hay Powel, PH.D.
• Frances Ann Powell, MA, LMFT
• Powers Physical Therapy, PLLC
• Leanne D Preble, LIC. AC, M. AC.
• Lucas A Preble, DPT

• Acupuncturist in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.