MRS. TAMARA BOYD POTTILLO NPI 1922717495

NPI Information

  • NPI: 1922717495
  • Provider Name: MRS. TAMARA BOYD POTTILLO
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 OLYMPIC PL STE 900
    TOWSON, MD
    ZIP 21204
  • Phone: (443) 745-8620

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NPI Details

MRS. Tamara Boyd Pottillo is a psychiatric/mental health nurse practitioner in Towson, MD. MRS. Tamara Boyd Pottillo NPI is 1922717495. 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:

1 OLYMPIC PL STE 900
TOWSON, MD
ZIP 21204-113
Phone: (443) 745-8620

The NPI 1922717495 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/23/2022 and was last updated on 11/23/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthR197825MARYLANDYes

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: 3/30/2025

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