Christine Potts-Wilson

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

37149 Issued in CA

Practice address

4818 Moraga LN
Stockton, CA 95206-6382

Phone

(775) 848-7893

NPI assigned

Nov 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Christine Potts Former name

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1982981718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 MORAGA LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066382",
            "telephone_number": "775-848-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4818 MORAGA LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066382",
            "telephone_number": "775-848-7893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 H St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959015834",
            "country_code": "US",
            "telephone_number": "530-742-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POTTS-WILSON",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "37149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "POTTS",
            "credential": "REGISTERED NURSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sambo Pot
• Catherine Poterack, MD
• Pallavi Pothuri, M.D.
• Annalisa C Potter
• Potters Medical Group, PC
• Alexandra Potts
• Darjah Rhiannon Pou
• Harrison Pou
• Cynthia Elizabeth Poulos, RN
• Jena Pourshafie

• Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; 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.