MR. KEITH LESLIE POTTER (NPI# 1457562290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457562290 |
| Entity Type | Individual |
| Full Name | MR. KEITH LESLIE POTTER |
| Practice Address |
4001 E Baseline Rd Suite B2 Gilbert AZ 85234-2726 |
| Mailing Address |
2277 E Palm Beach Dr Chandler AZ 85249-4663 |
| Practice Telephone | 4805395629 |
| Practice Fax Number | 4805395669 |
| Mailing Telephone | 4802205547 |
| Mailing Fax Number | 4805395669 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225A00000X | Music Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4001 E BASELINE RD SUITE B2 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85234-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013909969 | Cigna Health Care of Arizona Inc | Pharmacy | 4001 E Baseline Rd, Ste 107, Gilbert, AZ 85234-2726 | 2005-08-17 |
| 1326596719 | Lighthouse Psychiatry LLC | Psychiatry & Neurology | 4001 E Baseline Rd, Suite B-7, Gilbert, AZ 85234-2726 | 2016-09-14 |
| 1164871075 | Central Arizona Gi & Liver Institute LLC | Clinic/Center | 4001 E Baseline Rd, Suite 102, Gilbert, AZ 85234-2726 | 2016-06-10 |
| 1245562826 | Crazy About Kids Pulmonary Services LLC | Pediatrics | 4001 E Baseline Rd, Ste 205, Gilbert, AZ 85234-2726 | 2010-02-05 |
| 1831360569 | Jenna Gail Burningham | Occupational Therapist | 4001 E Baseline Rd, Suite B2, Gilbert, AZ 85234-2726 | 2008-03-21 |
| 1265588487 | Professional Radiology Consultants | Radiology | 4001 E Baseline Rd, Suite 105, Gilbert, AZ 85234-2726 | 2007-01-29 |
| 1497813513 | Desert View Ultrasound, Inc. | Clinic/Center | 4001 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2726 | 2006-12-04 |
| 1124199898 | Melissa J Johnson | Occupational Therapist | 4001 E Baseline Rd, Ste B2, Gilbert, AZ 85234-2726 | 2006-11-13 |
| 1942371505 | Cigna Health Care of Arizona Inc. | Clinic/Center | 4001 E Baseline Rd, Ste 107, Gilbert, AZ 85234-2726 | 2006-11-13 |
| 1841399243 | Mitchell Lee Factor | Radiology | 4001 E Baseline Rd, Gilbert, AZ 85234-2726 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500962 | Fatima Health LLC | Nurse Practitioner | 760 North Swallow Lane, Gilbert, AZ 85234 | 2020-05-22 |
| 1073152070 | American Care Concepts Hospice LLC | Hospice Care, Community Based | 765 N. Lindsay Rd., Ste. 208, Gilbert, AZ 85234 | 2019-12-23 |
| 1457918864 | Intuitive Healing Counseling Services, Pllc | Counselor | 3303 E Baseline Rd, Building 5, Suite 109, Gilbert, AZ 85234 | 2019-05-21 |
| 1487123907 | San Tan Behavioral Health Services LLC | Respite Care | 2671 East Vermont Court, Gilbert, AZ 85234 | 2018-11-14 |
| 1770052292 | San Tan Behavioral Health Services | Respite Care | 3970 East Juanita Avenue, Gilbert, AZ 85234 | 2018-11-14 |
| 1891262887 | Victoria Elizabeth Klennertt | Behavior Technician | 3503 E Michelle Way, Gilbert, AZ 85234 | 2018-10-27 |
| 1225503634 | Julia Elizabeth Wiens | Social Worker | 3651 E Baseline Rd Ste 120, Gilbert, AZ 85234 | 2018-10-11 |
| 1295219798 | Raylene Dawn Cargiulo | Registered Nurse | 55 S. Greenfield Rd., Gilbert, AZ 85234 | 2018-09-20 |
| 1346729092 | Katherine M Winegar | Nurse Practitioner | Banner Md Anderson Cancer Center- Administration Office, 2940 E Banner Gateway Drive, Gilbert, AZ 85234 | 2018-08-13 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| Find all providers in zip 85234 | ||||
| Taxonomy Code | 225A00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Music Therapist |
| Music therapists use music interventions to assess clients' strengths and needs, develop goals, implement services, and evaluate and document progress for individuals of all ages. Music therapists facilitate changes in physical, cognitive, emotional, and/or psychosocial health. |
| Notes: Source: American Music Therapy Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922548221 | Jamie Cussen | Music Therapist | 1551 E Orchid Ct Unit C, Gilbert, AZ 85296-3762 | 2017-03-06 |
| 1396042347 | Hope Ellen Kumme | Music Therapist | 107 E Catclaw St, Gilbert, AZ 85296-2809 | 2011-02-25 |
| 1013249465 | Sherri L. Giguere | Music Therapist | 4283 S 165th Way, Gilbert, AZ 85297-6922 | 2010-02-10 |
| 1275760597 | Marisa J Covert | Music Therapist | 3225 E Baseline Rd, #1032, Gilbert, AZ 85234-2677 | 2009-06-12 |
| 1710198874 | Brianne Borgie | Music Therapist | 1300 W Warner Rd, #2054, Gilbert, AZ 85233-7024 | 2007-05-24 |
| 1518418615 | Shana Sumers | Music Therapist | 1305 S Gilbert Rd, Gilbert, AZ 85296-4019 | 2016-10-24 |
| 1245787936 | Jennifer Ostrowski | Music Therapist | 2451 E Baseline Rd Ste 420, Gilbert, AZ 85234-2472 | 2016-09-09 |
| 1184017139 | Hye Jii Rhee | Music Therapist | 3271 E Queen Creek Rd, Ste 101, Gilbert, AZ 85297-8508 | 2015-03-16 |
| 1336532928 | Sabrina Rae Deutsch | Music Therapist | 3271 E Queen Creek Rd, Suite 101, Gilbert, AZ 85297-8508 | 2015-03-06 |
| 1376888925 | Elizabeth Anne Johnson | Music Therapist | 1355 S Higley Rd, Building 5, Suite 111, Gilbert, AZ 85296-4799 | 2012-12-09 |
| Find all providers in GILBERT | ||||
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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.