Active NPI
Jade A Potter, APRN, IBCLC
- Women's Health Nurse Practitioner
- Knoxville, TN
National Provider Identifier
1871240903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 37766
- Practice address
- 9141 Cross Park Dr Ste 102
Knoxville, TN 37923-4557 - Phone
- (865) 505-0880
- NPI assigned
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 37766 | TN | Primary |
| Lactation Consultant (Registered Nurse) | 163WL0100X | 231223 | TN |
Addresses
Primary practice location
9141 Cross Park Dr Ste 102
Knoxville, TN 37923-4557
Mailing address
9141 Cross Park Dr Ste 102
Knoxville, TN 37923-4557
Phone (865) 684-8295
Other practice location 1
5344 N Broadway St Ste 103
Knoxville, TN 37918-3266
Phone (865) 505-0880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L-302373 | Other | IBCLC | |
| 104108881 | Other | NCC (WHNP-BC) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 231223 | TN | MD | Lactation Consultant (Registered Nurse) |
| 37766 | TN | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milk and Honey Lactation Services | Lactation Consultant | Past | Accepting new patients |
| M Plus H Health Services LLC | Lactation Consultant | Past | Accepting new patients |
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.
-
- Women's Health Nurse Practitioner
- Knoxville, TN
- NPI 1558179457
Lactation Consultant
-
- Lactation Consultant (Registered Nurse)
- Knoxville, TN
- NPI 1396430708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1871240903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9141 CROSS PARK DR STE 102",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234557",
"telephone_number": "865-684-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9141 CROSS PARK DR STE 102",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234557",
"telephone_number": "865-505-0880"
}
],
"practiceLocations": [
{
"address_1": "5344 N Broadway St Ste 103",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379183266",
"country_code": "US",
"telephone_number": "865-505-0880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POTTER",
"first_name": "JADE",
"middle_name": "A",
"credential": "APRN, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "37766",
"primary": true
},
{
"code": "163WL0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Lactation Consultant",
"state": "TN",
"license": "231223",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBCLC",
"identifier": "L-302373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCC (WHNP-BC)",
"identifier": "104108881",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.