Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tyisha G Potter, RN

Individual provider Hospice Registered Nurse · NPI 1104785278

Tyisha G Potter, RN is a Hospice Registered Nurse in Long Island City, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

3030 43rd St
Long Island City, NY 11103-2646
Phone: (718) 472-1999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice Registered Nurse (primary) Taxonomy 163WH1000X · Licence 597392 (NY)

Record details

NPI number1104785278
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026