Kathy Lynn Potter I, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP3510 Issued in CA

Practice address

6015 Hazel Way
Paradise, CA 95969-4271

Phone

(530) 228-7818

Fax

(530) 876-1244

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Kathy Lynn Scheuerman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1730623935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 HAZEL WAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694271",
            "telephone_number": "530-228-7818",
            "fax_number": "530-087-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 HAZEL WAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694271",
            "telephone_number": "530-228-7818",
            "fax_number": "530-876-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KATHY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP3510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "SCHEUERMAN",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Darcelle Nicole Poliquin
• Felicia Rene' Ponce, MS, RD
• Miranda Rose Pond
• Himabindu Poonati
• Howard Chandler Porter II, ACSW
• Barry Alan Pratt, MFT
• Melodie Sherron Prosser
• Troy Mathew Purdom
• Carla Pyle-McJunkin
• Kathleen J Quinn, LCSW

• Speech-Language Pathologist in Paradise, CA
• Providers in Paradise, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.