MRS. SHIRLEY LUCILLE POWELL (NPI# 1134222169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134222169 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY LUCILLE POWELL |
| Other Name | MS. SHIRLEY KIGHTLINGER POWELL |
| Credential | PA-C |
| Practice Address |
2510 Airpark Dr Ste 301 Redding CA 96001-2462 |
| Mailing Address |
3400 Data Dr Attn: Credentialing/payer Enrollment Rancho Cordova CA 95670-7956 |
| Practice Telephone | 5302423500 |
| Practice Fax Number | 5302423546 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 672043 | Dietary & Nutritional Service Providers | |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
16701 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| REGISTERED DIETITIAN | 672043 | 01 | |
| CERTIFIED DIABETES EDUCAT | 09315405 | 01 | |
| CA | DEA LICENSE | MP0907569 | 01 |
| CA | PHYSICIAN ASSISTANT | 16701 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073894689 | Shirley Powell | Massage Therapist | 12310 Highway 99, Suite 227, Everett, WA 98204-8518 | 2011-09-09 |
| Street Address |
2510 AIRPARK DR STE 301 |
| City | REDDING |
| State | CA |
| Zip Code | 96001-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487690749 | Joseph Lewis Campanelli | Otolaryngology | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2006-06-22 |
| 1053757054 | Molly Amanda Hartzler | Orthopaedic Surgery | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2013-05-16 |
| 1891130738 | Max Ruben Mandelbaum | Psychiatry & Neurology | 2510 Airpark Dr Ste 301, Redding, CA 96001 | 2013-05-06 |
| 1912288432 | Dignity Health Medical Foundation | Clinic/Center | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2011-08-30 |
| 1265752380 | Jean Huang Yun | Internal Medicine | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2010-06-11 |
| 1205169109 | Maria Jose Servioli Verde | Psychiatry & Neurology | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2009-09-09 |
| 1972674463 | Theresa M Rothrock | Physician Assistant | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2006-11-13 |
| 1508946351 | Brian Mark Davis | Physician Assistant | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2006-10-16 |
| 1124046776 | Karen R Garnaas | Psychiatry & Neurology | 2510 Airpark Dr Ste 301, Redding, CA 96001-2462 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356972756 | Mobile One Urgent Care Physician Assistant Owned Apc | Physician Assistant | 3904 Rainier Dr, Redding, CA 96001-5914 | 2020-02-04 |
| 1538307970 | Hanh D Cline | Physician Assistant | 2420 Sonoma Street, Redding, CA 96001 | 2009-01-22 |
| 1871552828 | Cathy L. Ochs | Physician Assistant | 1647 Hartnell Ave Ste 6, Redding, CA 96002-2268 | 2006-03-20 |
| 1306474135 | Tai Chinnock Moses | Physician Assistant | 1100 Butte St, Redding, CA 96001-0852 | 2020-03-28 |
| 1861960213 | Carri Ann Decarlo | Physician Assistant | 1742 Oregon St, Redding, CA 96001-1717 | 2018-11-04 |
| 1235580986 | Nicholas Cole | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2016-06-23 |
| 1962891036 | Kristen Anderson | Physician Assistant | 1035 Placer St, Suite 330, Redding, CA 96001-1125 | 2015-01-13 |
| 1447536933 | Marisa Taylor Mackenzie | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-10-27 |
| 1336428283 | Aaron Stinnett Englebright | Physician Assistant | 1555 East St, Suite 100, Redding, CA 96001-1153 | 2011-08-10 |
| 1609154517 | Trisha J Fagan | Physician Assistant | 1255 Liberty St, Redding, CA 96001-0814 | 2011-07-26 |
| Find all providers in REDDING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.