Individual provider Active NPI

Lynn Potsander, RN

  • Registered Nurse
  • Wapello, IA
National Provider Identifier
1861879207
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
056703 Issued in IA
Practice address
218 N 2ND St
Wapello, IA 52653-1202
Phone
(319) 527-4455
NPI assigned
May 6, 2015
Last updated
May 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 056703 IA Primary

Addresses

Primary practice location

218 N 2ND St
Wapello, IA 52653-1202

Mailing address

2005 Asbury Rd
Dubuque, IA 52001-3042
Phone (563) 583-7357

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
056703IAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1861879207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 ASBURY RD",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520013042",
            "telephone_number": "563-583-7357",
            "fax_number": "888-243-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N 2ND ST",
            "city": "WAPELLO",
            "state": "IA",
            "postal_code": "526531202",
            "telephone_number": "319-527-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTSANDER",
        "first_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "056703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wapello, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.