Kim Marie Potvin, MA LADC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

000356 Issued in VT

Practice address

215 N Main St
Mailbox 116E
White River Junction, VT 05009-0001

Phone

(802) 295-9363

Fax

(802) 296-6389

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881704468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BANK AVE",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037432218",
            "telephone_number": "802-295-9363",
            "fax_number": "802-296-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N MAIN ST",
            "address_2": "MAILBOX 116E",
            "city": "WHITE RIVER JUNCTION",
            "state": "VT",
            "postal_code": "050090001",
            "telephone_number": "802-295-9363",
            "fax_number": "802-296-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTVIN",
        "first_name": "KIM",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "VT",
            "license": "000356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED ALCOHOL AND DRUG",
            "identifier": "000356",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heiko Pohl, MD
• Elizabeth Jane Poirier, PA-C
• Andrew S. Pomerantz, M.D.
• Tammy Lynn Porter, RN
• Janet M Potter, LMFT, MLADC, LADC
• William Douglas Poulter, R.PH.
• Daniel Power
• Morgan Prentiss
• Taylor Renee Preseau
• Jessica Lynn Price, PSYD

• Genetic Counselor (M.S.) in White River Junction, VT
• Providers in White River Junction, VT by specialty
• Genetic Counselor (M.S.) in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.