KIM MAUREEN POTTER
NPI 1679163661
Licensed Practical Nurse in Marion, NY

Q: What is Kim Potter's NPI number?

The NPI number for Kim Potter is 1679163661. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Q: What is Kim Potter's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Potter was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2021

3477 PALMYRA RD, MARION, NY 14505(315) 584-3314 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Kim Maureen Potter NPPES

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

KIM MAUREEN POTTER (NPI 1679163661) is an individual licensed practical nurse in Marion, New York, licensed in New York (334078-1) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1679163661

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIM MAUREEN POTTER

Location Address3477 PALMYRA RDMarion, NY 14505-9711

Mailing Address3477 Palmyra RdMarion, NY 14505-9711 · (315) 584-3314

Phone(315) 584-3314

Sole ProprietorYes

Enumeration DateJanuary 22, 2021

NPPES CertifiedJanuary 22, 2021

✔ NPI 1679163661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 334078-1

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

3477 PALMYRA RD, Marion, NY 14505

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Potter's NPI number?

The NPI number for Kim Potter is 1679163661. It was assigned to this individual provider in the NPPES registry on January 22, 2021.

Where is Kim Potter located?

Kim Potter practices at 3477 Palmyra Rd, Marion, NY 14505. The listed phone number is (315) 584-3314.

What is Kim Potter's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kim Potter was last updated on January 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.