Provider Demographics
NPI:1568974707
Name:POTTS, ALEXA (DNP, APN)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:POTTS
Suffix:
Gender:F
Credentials:DNP, APN
Other - Prefix:
Other - First Name:ALEXA
Other - Middle Name:
Other - Last Name:MACALADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:4430 RONALD REAGAN BOULEVARD
Mailing Address - Street 2:SUITE 6208
Mailing Address - City:JOHNSTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80534-7031
Mailing Address - Country:US
Mailing Address - Phone:720-928-6998
Mailing Address - Fax:
Practice Address - Street 1:4430 RONALD REAGAN BOULEVARD
Practice Address - Street 2:SUITE 6208
Practice Address - City:JOHNSTOWN
Practice Address - State:CO
Practice Address - Zip Code:80534-7031
Practice Address - Country:US
Practice Address - Phone:720-928-6998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-27
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0995632-NP363LP0808X
CO1623517163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health