KIERSTEN POTTER DO - NPI 1619720174 - Student in an Organized Health Care Education/Training Program in Norfolk, VA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Kiersten Potter Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIERSTEN POTTER DO (NPI 1619720174) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619720174

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKIERSTEN POTTERCredential: DO

Location Address600 GRESHAM DR STE 304Norfolk, VA 23507-1904

Mailing Address600 Gresham Dr Ste 304Norfolk, VA 23507-1904 · (757) 388-3397

Phone(757) 388-3397

Sole ProprietorNo

Enumeration DateApril 8, 2024

NPPES CertifiedMarch 20, 2024

✔ NPI 1619720174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

600 GRESHAM DR STE 304, Norfolk, VA 23507

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kiersten Potter Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.