Individual provider Active NPI

Jennifer Jo Potts, RN

  • Registered Nurse
  • Franklin Furnace, OH
National Provider Identifier
1780461830
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
431950 Issued in OH
Practice address
7595 Gallia Pike
Franklin Furnace, OH 45629-8988
Phone
(740) 259-7000
Fax
(740) 480-5200
NPI assigned
Sep 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 431950 OH Primary

Addresses

Primary practice location

7595 Gallia Pike
Franklin Furnace, OH 45629-8988

Mailing address

PO Box 267
Franklin Furnace, OH 45629-0267
Phone (740) 259-7000

Other practice location 1

303 Gervais Rd
Franklin Furnace, OH 45629-8742
Phone (740) 259-7000 ext. 320

Other identifiers 1

IdentifierTypeStateIssuer
1962801548MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
431950OHMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Residential Group, LLC Past Accepting new patients
Focus Residential Group, LLC PastSince Jan 31, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/focusresidential/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1780461830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456290267",
            "telephone_number": "740-259-7000",
            "fax_number": "740-480-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 GALLIA PIKE",
            "city": "FRANKLIN FURNACE",
            "state": "OH",
            "postal_code": "456298988",
            "telephone_number": "740-259-7000",
            "fax_number": "740-480-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Gervais Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin Furnace",
            "state": "OH",
            "postal_code": "456298742",
            "country_code": "US",
            "telephone_number": "740-259-7000 x320",
            "fax_number": "740-480-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS",
        "first_name": "JENNIFER",
        "middle_name": "JO",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-12",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "431950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962801548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Furnace, OH

Sources for this page

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