Kimberly Ann Potter in Omaha - Addiction (substance Use Disorder)
Kimberly Ann Potter - NPI 1609940402
Kimberly Ann Potter is a Addiction (substance Use Disorder) in Omaha, Nebraska. Kimberly Ann Potter practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Kimberly Ann Potter is 1609940402. The last update date is 2021-06-03.
Kimberly Ann Potter's current location address is 415 S 25th St, Omaha, Nebraska. You can contact this provider via phone number 4027428857 and fax number 4024770081. The mailing address for Kimberly Ann Potter is 415 S 25th St, Omaha, Nebraska. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kimberly Ann Potter |
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Address | 415 S 25th St, Omaha, Nebraska |
Phone Number | 4027428857 |
Fax Number | 4024770081 |
Sole Proprietor | N |
Credentials | MA,, LIMHP |
NPI Number Detail
NPI Number | 1609940402 |
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Provider Enumeration Date | 2006-11-20 |
Last Updated Date | 2021-06-03 |
Provider Mailing Address Detail
Address | 415 S 25th St |
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City | Omaha |
State | Nebraska (NE) |
Post Code | 68124 |
Phone Number | 4027428857 |
Fax Number | 4024770081 |
Provider's Primary Taxonomy Detail
Speciality | Addiction (substance Use Disorder) |
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Taxonomy | 101Ya0400X |
Licence No | P-994 |
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
238599 | NE | MIDLANDS CHOICE | |
47052851581 | NE | -- | |
47052851500 | NE | -- | |
84988 | NE | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kimberly Ann Potter by the Centers for Medicare & Medicaid Services?
The Kimberly Ann Potter has been issued the NPI (National Provider Identifier) 1609940402, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kimberly Ann Potter's physical address?
The Kimberly Ann Potter is physically located at 415 S 25Th St, in the city of Omaha, NE, with the postal code 68124.
What is Kimberly Ann Potter's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Ann Potter is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.
On what date was the 1609940402 assigned to Kimberly Ann Potter?
The Kimberly Ann Potter was issued its 1609940402 on 2006-11-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kimberly Ann Potter most recently updated?
The details pertaining to the Kimberly Ann Potter, including its address, specialty, and other relevant information, were last refreshed on 2021-06-03.
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