Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083863401 Deactivated / Inactive NPI Female Practitioner

Crystal Marie Potter , LMP

Contractor • Spokane, WA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Crystal Potter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 10, 2008
NPI Deactivation Date March 07, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Crystal Potter, LMP was a registered Contractor practicing in Spokane, WA. Throughout an active medical career spanning 10 years, Crystal Potter provided care at the practice location at 730 N HAMILTON ST until profile deactivation on 2018-03-07.

Practice Location & Contact Primary Location

Practice Address

730 N Hamilton St

Spokane, WA 992022045

Telephone 5094136079
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Spokane, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Spokane, WA (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WA MA00025224

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Ashley Roth , LMHC, MHP, NCC

Counselor - Mental Health

NPI 1093101016

Licensed Mental Health Counselor, Mental Health Practitioner, National Certified Counselor

Jamie Redman , PT

Physical Therapist

NPI 1114303799

Physical Therapist

Taylor Ross

Counselor - Mental Health

NPI 1144143702
Dr. Ryan Hite , DPT

Physical Therapist

NPI 1194013565

Doctor of Physical Therapy

NPI 1255452421

Doctor of Chiropractic

Dr. Amelia Messer , DPT

Physical Therapist

NPI 1255637096

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 07, 2018

Record deactivated on March 07, 2018

NPI Profile Active September 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2008

Registered at 730 N HAMILTON ST, SPOKANE, WA 992022045 (Tel: 5094136079)

📍
Updated Business Mailing Address September 10, 2008

Registered at 25507 N REGAL RD, PO BOX 292, CHATTAROY, WA 990038601 (Tel: 5094136079)

👤
Provider Name / Credentials Updated September 10, 2008

Recorded as CRYSTAL POTTER, L.M.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2008

Contractor (License #MA00025224 in WA)

🟢
Initial NPI Registration & Enumeration September 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Crystal Potter. Be the first to share your experience!

Sign in to leave a review for Crystal Potter

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083863401
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2008
Last Update: September 10, 2008
Deactivation Date: March 07, 2018

Mailing Address

25507 N Regal Rd, Po Box 292

Chattaroy, WA 990038601

Phone: 5094136079

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.