KIMBERLY ANN POTTER NPI 1700378015

NPI Information

  • NPI: 1700378015
  • Provider Name: KIMBERLY ANN POTTER
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 2911 LONGVIEW DR
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 336-0238

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NPI Details

Kimberly Ann Potter is a day training habilitation specialist in Jonesboro, AR. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Kimberly Ann Potter NPI is 1700378015. 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:

2911 LONGVIEW DR
JONESBORO, AR
ZIP 72401-911
Phone: (870) 336-0238

The enumeration date for this NPI number is 6/1/2018 and was last updated on 8/2/2024.

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
1222Q00000XDevelopmental Therapist1164957080ARKANSASNo
2373H00000XDay Training/Habilitation Specialist1164957080ARKANSASYes

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: 11/21/2025

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