Individual provider Active NPI

Kayla Potter, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Culpeper, VA
National Provider Identifier
1851968499
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024181572 Issued in VA
Practice address
1400 Sunset LN Ste 4230
Culpeper, VA 22701-3300
Phone
(540) 616-2312
Fax
(540) 274-9440
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024181572 VA Primary

Addresses

Primary practice location

1400 Sunset LN Ste 4230
Culpeper, VA 22701-3300

Mailing address

1400 Sunset LN Ste 4230
Culpeper, VA 22701-3300
Phone (540) 616-2312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210902003431 MD Practitioner - Nurse Practitioner 1951707611 Reassigns benefits to 1 organization
I20230104001053 VA Practitioner - Nurse Practitioner 1951707611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lioness Healing and Wellness LLCGroup PAC ID 5193195360, 2 clinicians

Practice addresses (Care Compare)

1140 Professional CT
Hagerstown, MD 21740-5852
Phone (540) 616-2312

1400 Sunset LN
Suite 4230
Culpeper, VA 22701-3300
Phone (540) 616-2312

214 N E St
Culpeper, VA 22701-2738
Phone (540) 616-2312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024181572VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lioness Healing and Wellness LLC Psychiatric/Mental Health CurrentSince Sep 22, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1140 Professional Ct
Hagerstown, MD 21740
Phone (301) 778-5900

1400 Sunset Ln
#4230
Culpeper, VA 22701
Phone (216) 924-8879

214 N East St
Culpeper, VA 22701
Phone (540) 616-2312

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": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1851968499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 SUNSET LN STE 4230",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013300",
            "telephone_number": "540-616-2312",
            "fax_number": "540-274-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 SUNSET LN STE 4230",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013300",
            "telephone_number": "540-616-2312",
            "fax_number": "540-274-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "KAYLA",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024181572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.