KATHLEEN M POTTS


Address: 12303 Depaul Drive, Bridgeton, MO 63044
Phone: 3143446000

KATHLEEN M POTTS (NPI# 1518912708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518912708
Entity Type Individual
Full Name KATHLEEN M POTTS
Credential CPNP
Practice Address 12303 Depaul Drive
Bridgeton
MO 63044
Mailing Address 1836 Lackland Hill Pkwy
Attention: Credentialing Department
Saint Louis
MO 63146-3572
Practice Telephone 3143446000
Mailing Telephone 3149890300
Enumeration Date 2006-05-24
Last Update Date 2017-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
051628 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO 423901107 05

Other Providers KATHLEEN POTTS

NPI Name Taxonomy Address Enumeration
1750597878 Kathleen Mary Potts Social Worker 35 Longwood Rd, Middle Island, NY 11953-2045 2007-05-15

Office Location

Street Address 12303 DEPAUL DRIVE
City BRIDGETON
State MO
Zip Code 63044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386642320 Sameer Rana Internal Medicine 12303 Depaul Drive, Bridgeton, MO 63044 2005-07-13
1609481241 Hannah Ross Social Worker 12303 Depaul Drive, Bridgeton, MO 63044 2020-09-10
1023661709 Jessica Wild Family Medicine 12303 Depaul Drive, Bridgeton, MO 63044 2019-07-22
1699330803 Melinda Sue Nicholes Student in an Organized Health Care Education/Training Program 12303 Depaul Drive, Bridgeton, MO 63044 2019-05-02
1124580410 Blake Thomas Savage Student in an Organized Health Care Education/Training Program 12303 Depaul Drive, Bridgeton, MO 63044 2019-04-04
1114489986 Shiv Mehta Student in an Organized Health Care Education/Training Program 12303 Depaul Drive, Bridgeton, MO 63044 2019-04-02
1467918128 Joy Roberts Social Worker 12303 Depaul Drive, Bridgeton, MO 63044 2019-02-18
1376074377 Deborah Lynn Murphy Registered Nurse 12303 Depaul Drive, Bridgeton, MO 63044 2017-03-22
1174060719 Candice Bowman Social Worker 12303 Depaul Drive, Bridgeton, MO 63044 2017-01-20
1164878252 Deanna Krankel Social Worker 12303 Depaul Drive, St. Vincent's Behavioral Heatlh Services, Bridgeton, MO 63044 2016-05-09
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1609412451 Beyond Better, Best Home Health Care Services, Limited Liability Corpo In Home Supportive Care 3430 Mckelvey Road Ste B, Bridgeton, MO 63044 2019-11-26
1275189078 Delicate Angels Home Health LLC Home Health 11726 St. Charles Rock Road Suite G, Bridgeton, MO 63044 2019-08-16
1588210082 Nicholas Huber Physical Therapist 12349 Depaul Dr., Ste. 110, Bridgeton, MO 63044 2019-08-12
1124688858 Michelle Bassett Registered Nurse 11520 St. Charles Rock Rd., Suite 106, Bridgeton, MO 63044 2019-06-14
1336703883 Elena A Barrow Nurse Practitioner 12255 Depaul Dr, Suite 260, Bridgeton, MO 63044 2019-04-30
1487123105 Laura N Steiner Registered Nurse Gateway Pediatrics, Ltd, 12255 Depaul Drive, Suite 460 North Medical Building, Bridgeton, MO 63044 2018-11-26
1205310950 Danielle Mathis Nurse Practitioner 3440 Depaul Lane Suite 201, Bridgeton, MO 63044 2018-09-19
1588163570 Thoughts Out Loud Counseling, LLC Social Worker 11520 St. Charles Rock Road Suite 101, Bridgeton, MO 63044 2018-02-06
1912411430 Breanna Victoria Hayes Counselor 3165 Mckevley Road, Suite 200, Bridgeton, MO 63044 2017-11-20
Find all providers in zip 63044

Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1053822254 Amy Elizabeth Mcalister Nurse Practitioner 12255 Depaul Drive, Suite 370, Bridgeton, MO 63044 2017-10-16
1740572072 Karen F Robinson Nurse Practitioner 206 Laurel Heights Dr, Bridgeton, NJ 08302-3634 2011-05-04
1063667665 Susan H Fliesher Nurse Practitioner 12303 Depaul Drive, Bridgeton, MO 63044 2008-11-24
1336194539 Martha J Koenegstein Nurse Practitioner 12303 Depaul Drive, Bridgeton, MO 63044 2006-05-24
1700831856 Faith Stroud Nurse Practitioner 12303 Depaul Drive, Bridgeton, MO 63044 2006-05-24

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689203390 Kathleen Rippe Dowd Nurse Practitioner 59 Pointer Ln, Saint Louis, MO 63124-2018 2020-04-04
1871126391 Kelsey Lonergan Nurse Practitioner 10915 Three Court Dr, Saint Louis, MO 63123-5959 2020-02-13
1518599778 Eva Maria Gallina Nurse Practitioner 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 2020-02-06
1003383324 Jennifer Marie Jacobi Nurse Practitioner 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 2018-10-24
1902315609 Regina Victoria Maloney Nurse Practitioner 851 E 5th St Ste 300, Washington, MO 63090-3130 2017-09-25
1093235368 Sally Williams Ehrich Nurse Practitioner 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 2017-06-27
1366995789 Shawn Danielle Neyens Nurse Practitioner 303 N Keene St Ste 404, Columbia, MO 65201-7193 2016-08-02
1114381563 Kathleen B Shaughnessy Nurse Practitioner 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 2016-04-12
1518327071 Lauren Sommero Nurse Practitioner 1516 Bridge School Road, Rolla, MO 65401-8115 2016-02-26
1396117636 Erika Kircher Nurse Practitioner 518 Gray Ave, Saint Louis, MO 63119-3742 2015-10-27
Find all providers with the same taxonomy

Competitor

Search similar providers

City BRIDGETON
Zip Code 63044

Improve Information

Please comment or provide details below to improve the information on KATHLEEN M POTTS.

Dataset Information

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.

Trending Searches