KRISTA POTVIN (NPI# 1588105886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588105886 |
| Entity Type | Individual |
| Full Name | KRISTA POTVIN |
| Other Name | KRISTA BOUTIN |
| Credential | PA |
| Practice Address |
133 Pleasant St Berlin NH 03570-2006 |
| Mailing Address |
15 Hospital Dr York ME 03909-1011 |
| Practice Telephone | 6037522040 |
| Mailing Telephone | 2073512478 |
| Mailing Fax Number | 2073512216 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
133 PLEASANT ST |
| City | BERLIN |
| State | NH |
| Zip Code | 03570-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403238 | Jeanne D Charest | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570-2006 | 2005-08-09 |
| 1770199150 | Heather Lee Beaudry | Registered Nurse | 133 Pleasant St, Berlin, NH 03570-2006 | 2020-09-21 |
| 1487126181 | Pamela Woodburn Comeau | Nurse Practitioner | 133 Pleasant St, Berlin, NH 03570 | 2018-12-19 |
| 1316319718 | Ali Basha Shaik | Dentist | 133 Pleasant St, Berlin, NH 03570-2006 | 2015-10-24 |
| 1366859274 | Michael Creppy | Family Medicine | 133 Pleasant St, Berlin, NH 03570 | 2014-07-14 |
| 1245662535 | Amy Lucas | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2013-08-08 |
| 1336448414 | Holly B Ramsey | Physician Assistant | 133 Pleasant St, Berlin, NH 03570-2006 | 2011-03-15 |
| 1326204769 | Elaine Margaret Chappell | Family Medicine | 133 Pleasant St, Berlin, NH 03570-2006 | 2008-08-05 |
| 1508027384 | Nicole Eastman | Dietitian, Registered | 133 Pleasant St, Berlin, NH 03570-2006 | 2008-06-24 |
| 1740371368 | Josee Lucie Bourbeau | Family Medicine | 133 Pleasant St, Berlin, NH 03570-2006 | 2006-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351991 | Debra Chen | Psychologist | 1 Success Loop Road, Berlin, NH 03570 | 2019-11-26 |
| 1669826780 | Tri County Community Action Program | Case Management | 30 Exchange St, Berlin, NH 03570 | 2016-04-14 |
| 1952789265 | Brianne Teaboldt | Family Medicine | 133 Pleasant St Unit 2, Berlin, NH 03570 | 2015-05-07 |
| 1932435286 | Kristy May Nadeau | Nutritionist | 457 Forbush Avenue, Berlin, NH 03570 | 2009-10-21 |
| 1477737195 | Gayle M Theberge | Student in an Organized Health Care Education/Training Program | 3 Twelfth Street, Berlin, NH 03570 | 2007-12-18 |
| 1003019837 | Coos County Family Health Services | Dentist | 73 Main Street, Berlin, NH 03570 | 2007-06-08 |
| 1598824658 | Saadat U Khan Md Pa | Internal Medicine | 213 High St, Saadat U Khan Md Prof Assn, Berlin, NH 03570 | 2006-12-06 |
| 1508956327 | Judy Marie E Buteau | Social Worker | 292 Pleasant Street, Berlin, NH 03570 | 2006-10-13 |
| 1538254024 | Laurel J Pulsifer | Optometrist | 820 Main Street, Berlin, NH 03570 | 2006-10-03 |
| 1760592778 | William D Foord | Ophthalmology | 60 Pleasant St, Berlin, NH 03570 | 2006-08-30 |
| Find all providers in zip 03570 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588223754 | Autumn Smith | Physician Assistant | 175 Webster Square Rd, Berlin, CT 06037-2328 | 2019-06-11 |
| 1528599297 | Irene Chamberlain | Physician Assistant | 1311 Barre-montpelier Road, Suite 200, Cvmc Expresscare, Berlin, VT 05602 | 2017-03-24 |
| 1346620390 | Berlin Medical Associates | Physician Assistant | 175 Cross Keys Rd Ste 300b, Berlin, NJ 08009-9263 | 2015-06-04 |
| 1376955096 | Joseph Sicard | Physician Assistant | 798 U.S. Route 302, Berlin, VT 05602 | 2014-05-29 |
| 1376984229 | Michael A Puglisi | Physician Assistant | 225 Memorial Dr Ste 1100, Berlin, WI 54923-1243 | 2013-07-08 |
| 1538439278 | Jennifer Lynn Burrows | Physician Assistant | 339 N Route 73 Ste 1, Berlin, NJ 08009-9707 | 2012-01-11 |
| 1679897615 | Rosanna J Woodard | Physician Assistant | 1311 Barre-montpelier Rd, Suite 200, Berlin, VT 05602-9516 | 2010-03-19 |
| 1376878025 | Todd Morgan | Physician Assistant | 1311 Barre- Montpelier Rd, Cvmc Expresscare, Berlin, VT 05602-0000 | 2009-10-14 |
| 1295734069 | Anna M Freeman | Physician Assistant | 11101 Cathage Rd., Berlin, MD 21811 | 2005-07-14 |
| 1710502265 | Stephanie Klika | Physician Assistant | 225 Memorial Dr Ste 2010, Berlin, WI 54923-1243 | 2020-06-10 |
| Find all providers in BERLIN | ||||
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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.