KIMBERLY LYNNE POTTER NURSE
NPI 1942878368
Licensed Practical Nurse in Campbellsport, WI

Q: What is Kimberly Potter's NPI number?

The NPI number for Kimberly Potter is 1942878368. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Q: What is Kimberly 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 Kimberly Potter was last updated on June 13, 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 June 13, 2021

235 MILL ST, CAMPBELLSPORT, WI 53010(920) 266-5581(920) 533-6009 Get Directions Write a Review

NPPES record last updated: June 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Lynne Potter Nurse NPPES

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

KIMBERLY LYNNE POTTER NURSE (NPI 1942878368) is an individual licensed practical nurse in Campbellsport, Wisconsin, licensed in Wisconsin (304735-31) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1942878368

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIMBERLY LYNNE POTTERCredential: NURSE

Location Address235 MILL STCampbellsport, WI 53010-2786

Mailing Address235 Mill StCampbellsport, WI 53010-2786 · (920) 266-5581 · Fax (920) 533-6009

Phone(920) 266-5581

Fax(920) 533-6009

Sole ProprietorNo

Enumeration DateJune 13, 2021

NPPES CertifiedJune 13, 2021

✔ NPI 1942878368 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 WI · 304735-31

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.

235 MILL ST, Campbellsport, WI 53010

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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 Kimberly Potter's NPI number?

The NPI number for Kimberly Potter is 1942878368. It was assigned to this individual provider in the NPPES registry on June 13, 2021.

Where is Kimberly Potter located?

Kimberly Potter practices at 235 Mill St, Campbellsport, WI 53010. The listed phone number is (920) 266-5581.

What is Kimberly 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 Kimberly Potter was last updated on June 13, 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.