Leigh Anne Potts, ARNP
Individual provider Active NPI Pediatric Nurse Practitioner · Malabar, FL
NPI 1801289707 · NPPES record last updated Mar 17, 2015
Key facts
- NPI
- 1801289707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- ARNP9198950 (FL)
- Practice address
- 775 Malabar Rd
Malabar, FL 32950-3120 - Phone
- (321) 722-8435
- Fax
- (321) 722-8486
- NPI assigned
- Mar 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150529000974 | FL | Order and Referring Only - Nurse Practitioner | 2769702935 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Health Alliance Inc | Past | Accepting new patients |
Interoperability endpoints
- leigh.potts@bha.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | ARNP9198950 | FL | Yes |
Addresses
Primary practice location
775 Malabar Rd
Malabar, FL 32950-3120
Mailing address
PO Box 1137
Melbourne, FL 32902-1137
Phone (321) 952-9696
Other providers in Malabar, FL
- Dianne M Parker
- Shaniece Patacer
- Bhaskerrao P Patel
- Brandi Patten
- Timothy Scott Peterson
- Renata Maria Ratajczak-Dambek
- Jennifer Javier Roberg
- Amanda R Ross
- Beth Ann Ruede
- Joanne Schneider
All providers in Malabar, FL · Pediatric Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.