Active NPI
Heather Potter
- Contractor
- Columbus, OH
National Provider Identifier
1902262652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- OH3191290
- Practice address
- 282 Broadmeadows Blvd Apt a
Columbus, OH 43214-1016 - Phone
- (614) 530-5815
- NPI assigned
- Jan 11, 2016
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | OH3191290 | OH | Primary |
Addresses
Primary practice location
282 Broadmeadows Blvd Apt a
Columbus, OH 43214-1016
Mailing address
282 Broadmeadows Blvd Apt a
Columbus, OH 43214-1016
Phone (614) 530-5815
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 |
|---|---|---|---|
| OH3191290 | OH | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1902262652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 BROADMEADOWS BLVD APT A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141016",
"telephone_number": "614-530-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "282 BROADMEADOWS BLVD APT A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141016",
"telephone_number": "614-530-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTTER",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": "OH3191290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.