Rebecca Potter, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126002327 Issued in VA

Practice address

312 W Bute St Ste 100
Norfolk, VA 23510-1302

Phone

(757) 252-2600

NPI assigned

Mar 18, 2020

Last updated

Mar 18, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sentara Hospitals

  dba Sentara Leigh Hospital

  • General Acute Care Hospital
  • Norfolk, VA
  • NPI 1811957681
  NPD (past)

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

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1831725209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COCOWALK LN APT 308",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627481",
            "telephone_number": "540-907-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W BUTE ST STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101302",
            "telephone_number": "757-252-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "REBECCA",
        "credential": "LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca D. Poston, CPNP
• Philip Potena
• Pranitha N Pothuri, DO
• Dileep Kumar Potnuri
• Kiersten Potter, DO
• Eric D Poulin, PA
• Ronald F Poulin, M.D.
• Kenneth R. Powders, DDS
• Kizzy Powell-Jones
• Bertha Powell, COTA

• Athletic Trainer in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.