NPI age
19 years
Enumerated 2006-07-14
● Active
Type 1 · Individual
Stephanie Kathryn Potter, M.D.
Potter is 1 of 118 family medicine providers in Conroe and 1 of 15966 in Texas.
Primary specialty
Family Medicine
Plus 4 subspecialties
Licensed in
TX, OR, ID
3 states
Status
Active
No deactivations on record
Last NPPES update
2025-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15966 active family medicine providers in Texas.
NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
3 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
1169 Grand Central Pkwy
Conroe, TX 773043185
Mailing address
1169 Grand Central Pkwy
Conroe, TX 773043185
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
302 W Idaho St
Boise, ID 837026039
Location 3
207 1st St S
Nampa, ID 836513703
Specialties
-
Family Medicine PrimaryFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1196215 | MEDICARE PTAN |
| 01 (ID) | P01009617 | MEDICARE RAILROAD |
| 05 (ID) | 1609892413 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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