MS. ANGELA KAY POTTS (NPI# 1457906620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457906620 |
| Entity Type | Individual |
| Full Name | MS. ANGELA KAY POTTS |
| Credential | BA, CADC |
| Practice Address |
1125 E Pine Ave Meridian ID 83642-5955 |
| Practice Telephone | 2082864274 |
| Mailing Telephone | 2082864274 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12932 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627106 | Angela Potts | Nutritionist | 6744 Sharon Rd, Newburgh, IN 47630-1935 | 2018-11-11 |
| 1992763577 | Angela Marie Potts | Registered Nurse | 3248 Vandever Ave, Pekin, IL 61554 | 2006-05-03 |
| Street Address |
1125 E PINE AVE |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457722092 | Bear Tooth Laboratory, LLC | Clinical Medical Laboratory | 1125 E Pine Ave, Ste B, Meridian, ID 83642-5955 | 2015-10-08 |
| 1205489234 | Tiffanie Diane Long | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-07-18 |
| 1053973628 | Sarah Elizabeth Skoog | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-07-03 |
| 1083150296 | Brick House Recovery | Community/Behavioral Health | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2017-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644107 | Joseph Anomalay | Counselor | 6700 N. Linder Rd, Ste 156 #257, Meridian, ID 83646 | 2018-10-10 |
| 1366894933 | Velva Schnase | Counselor | 12151 S Henney Rd, Meridian, OK 73058-9644 | 2016-07-07 |
| 1962892372 | David Baumgart | Counselor | 5032 S Terri Way, Meridian, ID 83642 | 2015-01-23 |
| 1619374907 | Tame, LLC | Counselor | 7921 Poplar Springs Dr, Meridian, MS 39305-9247 | 2014-12-02 |
| 1194010025 | Benjamin Seymour | Counselor | 1833 Millennium Way Suite# 120, Meridian, ID 83642 | 2011-06-20 |
| 1174768345 | Wendi Mccutchen | Counselor | 660 E Franklin Rd, Suite 260, Meridian, ID 83642-2910 | 2008-12-02 |
| 1205472370 | Amanda Kay Lewis | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-22 |
| 1205489234 | Tiffanie Diane Long | Counselor | 1125 E Pine Ave, Meridian, ID 83642-5955 | 2019-07-18 |
| 1902398290 | Kirby Renae Pough | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-06-01 |
| 1891283651 | Lakrystal Ann Love | Counselor | 2419 10th St, Meridian, MS 39301-5040 | 2018-04-27 |
| Find all providers in MERIDIAN | ||||
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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.