Active NPI
Laura Dawn Potter, AP, DIPL.OM
- Acupuncturist
- Clearwater, FL
National Provider Identifier
1891752036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP1972
- Practice address
- 2907 State Road 590 Ste 6a
Clearwater, FL 33759-2505 - Phone
- (727) 475-4710
- NPI assigned
- May 1, 2006
- Last updated
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP1972 | FL | Primary |
Addresses
Primary practice location
2907 State Road 590 Ste 6a
Clearwater, FL 33759-2505
Mailing address
2916 Star Apple CT
Palm Harbor, FL 34684-3618
Phone (727) 475-4710
Other names 1
- Ms. Laura Dawn Balusik
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 |
|---|---|---|---|
| AP1972 | FL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawn Potter, LLC | Current | Accepting new patients |
Locations
2431 Estancia Blvd
Ste A2
Clearwater, FL 33761
Phone (727) 379-2273
2907 State Road 590
Ste 6A
Clearwater, FL 33759
Phone (727) 475-4710
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1891752036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 STAR APPLE CT",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843618",
"telephone_number": "727-475-4710",
"fax_number": "888-300-7893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2907 STATE ROAD 590 STE 6A",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337592505",
"telephone_number": "727-475-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "LAURA DAWN",
"name_prefix": "Ms.",
"credential": "AP, DIPL.OM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-01",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP1972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA DAWN",
"last_name": "BALUSIK",
"prefix": "MS.",
"credential": "AP, DOM",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.