BENJAMIN POTTER (NPI# 1215560578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215560578 |
| Entity Type | Individual |
| Full Name | BENJAMIN POTTER |
| Credential | ACNPC-AG |
| Practice Address |
1800 Irving Pl Shreveport LA 71101-4608 |
| Practice Telephone | 3184254096 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
211844 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063919793 | Benjamin Potter | Podiatrist | 2525 S Michigan Ave, Chicago, IL 60616 | 2018-04-09 |
| 1821382748 | Benjamin David Potter | Psychiatry & Neurology | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425-8905 | 2011-06-08 |
| 1427163849 | Benjamin Kyle Potter | Orthopaedic Surgery | Walter Reed Army Medical Ctr, 6900 Georgia Avenue Nw, Washington, DC 20307-0001 | 2006-08-19 |
| 1285689505 | Benjamin Potter | Internal Medicine | 161 Marginal Way, Portland, ME 04101-2438 | 2006-05-24 |
| Street Address |
1800 IRVING PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376511493 | Promise Hospital of Louisiana, Inc | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2006-03-14 |
| 1386292134 | Kpc Promise Hospital of Louisiana LLC | Long Term Care Hospital | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2019-08-26 |
| 1508358110 | Rickman Critical Care LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2018-05-31 |
| 1629504220 | Imperial Medicine LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-05-03 |
| 1225579402 | B&l Medical Services LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-03-20 |
| 1982145157 | Bankai Physicians LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-03-20 |
| 1598205551 | Anand M Desai Md LLC | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2017-02-24 |
| 1063963189 | Basel Kasabali Md Apmc | Internal Medicine | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2016-10-24 |
| 1669864773 | Janice Hollier, LLC | Specialist | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2015-02-26 |
| 1265749436 | Melissa Ann Tingler Frick | Pharmacist | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
| 1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
| 1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
| 1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
| 1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
| 1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
| 1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
| 1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
| 1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
| 1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
| Find all providers in zip 71101 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1922475227 | Dillon Hart Acnp, LLC | Nurse Practitioner | 5021 Beechwood Hills Dr, Shreveport, LA 71107-9175 | 2015-08-22 |
| 1487066296 | Alfred W. Hathorn Jr., M.d. Apmc | Nurse Practitioner | 2120 Bert Koun Loop, Suite # L, Shreveport, LA 71118-3351 | 2014-05-28 |
| 1427675701 | Lakyn Paige Smith | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2020-07-02 |
| 1700401908 | Amanda Marie Davis | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2020-06-12 |
| 1437774635 | April Chase | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2020-06-12 |
| 1922653443 | Tarcariyunn Shantay Caldwell | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2019-08-02 |
| 1831742147 | Christina Marie Simpkins | Nurse Practitioner | 1453 E Bert Koun Loop Ste 112, Shreveport, LA 71105-6810 | 2019-07-17 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71101 |
Please comment or provide details below to improve the information on BENJAMIN POTTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.