IndividualActive
Tyisha Potter, RN
NPI 1104785278 · Hospice Registered Nurse · Long Island City, NY
Tyisha Potter, RN is a Hospice Registered Nurse provider in Long Island City, NY (NPI 1104785278).
Provider details
- NPI number
- 1104785278
- Entity type
- Individual
- Primary specialty
- Hospice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 597392 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3030 43rd St
Long Island City, NY 11103-2646
Phone: (718) 472-1999
Street-level locationGet directions
Mailing address
180 Heron Ln
Bronx, NY 10473-1152
Registry dates
- Enumerated
- 2026-01-15
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Frequently asked questions
- What is Tyisha Potter's NPI number?
- Tyisha Potter's National Provider Identifier (NPI) is 1104785278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tyisha Potter's specialty?
- Tyisha Potter is listed in the NPPES registry with a primary specialty of Hospice Registered Nurse (Nursing Service Providers).
- Where is Tyisha Potter located?
- Tyisha Potter's practice location on file with NPPES is 3030 43rd St, Long Island City, NY 11103-2646.
- What is Tyisha Potter's phone number?
- The practice phone number listed in the NPPES registry for Tyisha Potter is (718) 472-1999.
- Is Tyisha Potter's NPI active?
- Yes — Tyisha Potter's NPI (1104785278) is active in the NPPES registry as of the last update on 2026-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.