1. Home
  2. Directory
  3. New York
  4. Bellport
  5. Licensed Practical Nurse
  6. NPI Profile

KIM DENISE POTTER LPN
NPI 1992154496
Licensed Practical Nurse in Bellport, NY

Active since June 07, 2016
19 SUNDOWN DR, BELLPORT, NY 11713(631) 205-3823 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim Denise Potter Lpn NPPES

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

KIM DENISE POTTER LPN (NPI 1992154496) is an individual licensed practical nurse in Bellport, New York, licensed in New York (284000-1) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1992154496
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIM DENISE POTTERCredential: LPN
Location Address19 SUNDOWN DRBellport, NY 11713-1133
Mailing Address19 Sundown DrBellport, NY 11713-1133 · (631) 205-3823
Phone(631) 205-3823
Sole ProprietorYes
Enumeration DateJune 7, 2016
Last NPPES UpdateJune 9, 2016
✔ NPI 1992154496 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 · 284000-1
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.
19 SUNDOWN DR, Bellport, NY 11713
Open in Google Maps ↗

Other Identifiers 1

Medicaid02878962NY

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 1992154496. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Kim Potter located?

Kim Potter practices at 19 Sundown Dr, Bellport, NY 11713. The listed phone number is (631) 205-3823.

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 June 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.