KAREN V POTAMPA NMNP-PP NPI 1174687867

NPI Information

NPI: 1174687867
Provider Name: KAREN V POTAMPA, NMNP-PP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
76 NE 12TH ST
MADRAS, OR
ZIP 97741
Phone: (541) 475-3874
Get Directions

Karen V Potampa, NMNP-PP is a family nurse practitioner in Madras, OR. Karen V Potampa, NMNP-PP NPI is 1174687867. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

76 NE 12TH ST
MADRAS, OR
ZIP 97741-827
Phone: (541) 475-3874
Fax: (541) 475-3503

The enumeration date for this NPI number is 12/20/2006 and was last updated on 9/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	26221N1	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	116000	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	S07062	MEDICARE UPIN	OREGON
3	040407	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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