Katie M Potter | Rochester, NY • PECOS Search

Katie M Potter

Licensed Practical Nurse

Nursing Service Providers

53 Blakeslee St, Rochester, NY 14609-2210

PECOS Enrollment

Based on the most recent information from CMS, provider Katie M Potter does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:33 PM.

Profile Details

Provider ID
1609990456
Provider Type
Individual
Full Name
Potter, Katie M
Title
Mrs.
Credential
LPN

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/19/2007
Last Updated
7/8/2007

Contact Information

Practice Location

53 Blakeslee St, Rochester, NY 14609-2210

Unlisted Fax

Mailing Location

53 Blakeslee St, Rochester, NY 14609-2210

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 164W00000X Primary	Description Licensed Practical Nurse Nursing Service Providers	License 01339106 New York