Individual provider Active NPI

Jade A Potter, APRN, IBCLC

  • Women's Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1871240903
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
37766 Issued in TN
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

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 37766 TN Primary
Lactation Consultant (Registered Nurse)Group: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
L-302373OtherIBCLC
104108881OtherNCC (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

LicenseStateTypeSpecialty
231223TNMDLactation Consultant (Registered Nurse)
37766TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Milk and Honey Lactation Services Lactation Consultant Past Accepting new patients
M Plus H Health Services LLC Lactation Consultant PastSince Dec 29, 2024 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.

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.

Verify at the official NPI Registry.