TIFFANY POTTER (NPI# 1447453212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447453212 |
| Entity Type | Individual |
| Full Name | TIFFANY POTTER |
| Practice Address |
4710 Champions Trace Ln Ste. 104 Louisville KY 40218-3495 |
| Mailing Address |
2 School St Plymouth MA 02360-3964 |
| Practice Telephone | 5025898600 |
| Practice Fax Number | 5025898771 |
| Mailing Telephone | 5088301234 |
| Mailing Fax Number | 5088301191 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2020-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NPI# | 1518996354 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962867655 | Tiffany Potter | Nurse Practitioner | 645 Paul Huff Pkwy Nw, Suites 105 & 106, Cleveland, TN 37312-3149 | 2015-12-22 |
| 1962740985 | Tiffany Helyn Potter | Nurse Practitioner | 1010 S 4th St, Canadian, TX 79014-3315 | 2013-01-25 |
| 1447352380 | Tiffany P Potter | Audiologist | 5881 Rand Blvd, Sarasota, FL 34238-5115 | 2006-09-01 |
| Street Address |
4710 CHAMPIONS TRACE LN STE. 104 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218-3495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104849348 | James Arthur Covert | Social Worker | 4710 Champions Trace Ln, #102, Louisville, KY 40218-3495 | 2006-07-26 |
| 1669993176 | Amanda Bell | Nurse Practitioner | 4710 Champions Trace Ln, Louisville, KY 40218-3495 | 2017-07-06 |
| 1811389109 | Stephanie Waddell | Social Worker | 4710 Champions Trace Ln, Louisville, KY 40218-3495 | 2015-02-24 |
| 1245621788 | Taylor Roberts | Social Worker | 4710 Champions Trace Ln, Suite 102, Louisville, KY 40218-3495 | 2015-02-05 |
| 1386051548 | Danielle Cinderella Casson | Counselor | 4710 Champions Trace Ln, Louisville, KY 40218-3495 | 2014-07-18 |
| 1508270257 | Kathy Lynn Jankowski | Social Worker | 4710 Champions Trace Ln, Louisville, KY 40218-3495 | 2014-06-19 |
| 1568880656 | Valerie Sandusky | Counselor | 4710 Champions Trace Ln, Louisville, KY 40218-3495 | 2014-04-04 |
| 1801213970 | Dawn Alicia May Crutcher Afitlhile | Social Worker | 4710 Champions Trace Ln, Ste. 107, Louisville, KY 40218-3495 | 2014-03-26 |
| 1982029328 | James Wathen IIi | Counselor | 4710 Champions Trace Ln, Suite 101, Louisville, KY 40218-3495 | 2014-02-21 |
| 1346664240 | Susan Ahlhaus | Counselor | 4710 Champions Trace Ln, Louisville, KY 40218-3495 | 2014-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607605 | Yasmeen Barnes | Case Manager/Care Coordinator | 10207 Allentree Pl, Louisville, KY 40229-2214 | 2020-10-22 |
| 1851914048 | Ryon Piphus | Case Manager/Care Coordinator | 1169 Eastern Pkwy Ste 336, Louisville, KY 40217-1417 | 2020-05-21 |
| 1154969129 | Michelle Rae Hicks | Case Manager/Care Coordinator | 1151 S 4th St Ste 208, Louisville, KY 40203-3101 | 2019-12-20 |
| 1992340699 | Sharmika Berry | Case Manager/Care Coordinator | 3728 Chamberlain Ct, Louisville, KY 40241-1753 | 2019-11-17 |
| 1790320570 | Yinethia Brown | Case Manager/Care Coordinator | 8425 Biggin Hill Ln, Louisville, KY 40220-4107 | 2019-11-15 |
| 1508412859 | Erika Lynum | Case Manager/Care Coordinator | 3709 Modesto Rd, Louisville, KY 40299-1443 | 2019-08-13 |
| 1487215703 | Flore Cogswell | Case Manager/Care Coordinator | 3301 Protege Pl Unit 102, Louisville, KY 40245-7731 | 2019-06-26 |
| 1699234849 | Amanda Brown | Case Manager/Care Coordinator | 4405 Bridgeman Ct, Louisville, KY 40218-3039 | 2019-03-18 |
| 1629535430 | Cynthia Sue Howard | Case Manager/Care Coordinator | 103 Wickfield Dr, Louisville, KY 40245-4054 | 2019-02-28 |
| 1669966966 | David Lee Sullivan Jr. | Case Manager/Care Coordinator | 513 Cannons Ln, Louisville, KY 40207-3645 | 2018-06-20 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
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| 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.