TIFFANY R. POTTKOTTER CNP NPI 1629271150

NPI Information

NPI: 1629271150
Provider Name: TIFFANY R. POTTKOTTER, CNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
885 N SANDUSKY AVE
UPPER SANDUSKY, OH
ZIP 43351
Phone: (419) 294-4991
Get Directions

Tiffany R. Pottkotter, CNP is a psychiatric/mental health nurse practitioner in Upper Sandusky, OH with 10 years of experience. Tiffany R. Pottkotter, CNP NPI is 1629271150. 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:

885 N SANDUSKY AVE
UPPER SANDUSKY, OH
ZIP 43351-098
Phone: (419) 294-4991
Fax: (419) 209-0278

The NPI 1629271150 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 6/11/2007 and was last updated on 3/6/2023.

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	101YM0800X	Counselor	Mental Health	C0500689	OHIO	No
2	101YP2500X	Counselor	Professional	COA16281NP	OHIO	No
3	363L00000X	Nurse Practitioner		COA16281-NP	OHIO	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.16281	OHIO	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	Other Provider Identifier Issuer
1	0111791	MEDICAID	OHIO

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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