Benjamyn Lawrence Potvin, SF-IDC, CPHT, NREMT

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

2000 W Marine View Dr BLDG 2108
Everett, WA 98207-0001

Phone

(907) 942-2460

NPI assigned

Nov 14, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1962004838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10652 HORIZON LANE EAST SE",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983679605",
            "telephone_number": "907-942-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MARINE VIEW DR BLDG 2108",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982070001",
            "telephone_number": "907-942-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTVIN",
        "first_name": "BENJAMYN",
        "middle_name": "LAWRENCE",
        "credential": "SF-IDC, CPHT, NREMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-14",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "CA",
            "license": "E3223966",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "30045107",
            "primary": false
        },
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Potocki, BSW
• James Potocsnak, PAC
• Megan Elizabeth Potter, AAC
• Rebekah Potter
• Lindsay Potts
• Michelle Deanne Pouch
• Virginia Angelica Pounds
• Christopher Allen Powell, P.T.
• Hannah Powell
• Madison Lavaughn Powell

• Independent Duty Corpsman in Everett, WA
• Providers in Everett, WA by specialty
• Independent Duty Corpsman in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.