MRS. STEPHANIE PEARLETTE POWELL (NPI# 1417040403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417040403 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE PEARLETTE POWELL |
| Credential | PA-C |
| Practice Address |
500 E 51st St Room 7021e Chicago IL 60615-2400 |
| Practice Telephone | 3125722743 |
| Practice Fax Number | 3125722799 |
| Mailing Telephone | 7735722743 |
| Mailing Fax Number | 7735722799 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085-001414 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085-001414 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PA LICENSE NUMBER | 085001414 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119311 | Stephanie Michelle Powell | Speech-Language Pathologist | 2535 Lone Star Dr, Dallas, TX 75212-6313 | 2020-09-21 |
| 1538714076 | Stephanie Renee' Powell | Physician Assistant | 520 E 6th St, Odessa, TX 79761-4527 | 2019-08-01 |
| 1548740491 | Stephanie Powell | Licensed Vocational Nurse | 1303 82nd St Ste 150, Lubbock, TX 79423-2766 | 2018-08-20 |
| 1205316189 | Stephanie Alyse Powell | Anesthesiologist Assistant | 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 | 2018-08-20 |
| 1770079592 | Stephanie Cherie Powell | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2018-07-04 |
| 1447610522 | Stephanie Powell | Counselor | 1414 W Franklin St, Boise, ID 83702-5023 | 2016-03-02 |
| 1962808055 | Stephanie Powell | Behavioral Analyst | 600 University Office Blvd, Suite 11, Pensacola, FL 32504-6475 | 2014-11-17 |
| 1255734836 | Stephanie Powell | Nurse Practitioner | 1600 East Broadway, Columbia, MO 65201 | 2014-09-26 |
| 1346587722 | Stephanie Renee Powell | Chiropractor | 115 W Clinton St, Howell, MI 48843-1565 | 2013-01-06 |
| 1780992149 | Stephanie Michelle Powell | Physical Therapy Assistant | 1301 E Quebec Ave, Mcallen, TX 78503-1623 | 2010-09-20 |
| Street Address |
500 E 51ST ST ROOM 7021E |
| City | CHICAGO |
| State | IL |
| Zip Code | 60615-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316919061 | Clyniece Lois Watson | Pediatrics | 500 E 51st St, Department of Pediatrics, Chicago, IL 60615-2400 | 2006-02-06 |
| 1598379430 | Chidinma Nwokocha | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2020-09-08 |
| 1235760224 | Cook County | Family Medicine | 500 E 51st St, Chicago, IL 60615-2400 | 2020-01-29 |
| 1013489814 | Margaret Hennessy | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2018-12-19 |
| 1477021913 | Cook County | Clinic/Center | 500 E 51st St, Chicago, IL 60615-2400 | 2018-11-02 |
| 1487135208 | Dianna Denise Hilson | Nurse Practitioner | 500 E 51st St, Chicago, IL 60615-2400 | 2018-08-29 |
| 1497271571 | Colleen Minnie Hallinan | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2017-08-20 |
| 1184171159 | Charlia Arbo | Pharmacist | 500 E 51st St, 430 East 50th Place, Chicago, IL 60615-2400 | 2016-09-07 |
| 1205204542 | Bria Jena Mays | Occupational Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2015-09-03 |
| 1891194643 | Mark Lower | Physical Therapist | 500 E 51st St, Chicago, IL 60615-2400 | 2014-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170221 | Cook County | Technician, Other | 430 East 51st Pl, Chicago, IL 60615 | 2020-09-28 |
| 1700498326 | Connie Frances Davis | Massage Therapist | 5481 S. Cornell, Chicago, IL 60615 | 2020-08-17 |
| 1134781974 | Lifestyle Rejuvenation Medical Group Pllc | Chiropractor | 1740 E 55th Street, Chicago, IL 60615 | 2019-07-02 |
| 1275007767 | Michelle Alyse Costello | Social Worker | 1225 E 53rd St, Suite 606, Chicago, IL 60615 | 2019-01-17 |
| 1194207522 | Cindy Louise Lys | Social Worker | 1525 E 53rd Street Suite 516-4, Chicago, IL 60615 | 2018-09-01 |
| 1861983660 | Pranusha Pinna | Student in an Organized Health Care Education/Training Program | 1850 W. Harrison St., Chicago, IL 60615 | 2018-05-29 |
| 1528577632 | Jonah Waseberg | Counselor | 1100 E.55th St, Chicago, IL 60615 | 2017-09-21 |
| 1710404496 | Tawann Jackson | Psychologist | 360 Blair Lane, Door 13, Bolingbrook, IL 60615 | 2017-08-24 |
| 1194259069 | Molly Kachale Netter | Nurse Practitioner | 1554 E 55th St., Chicago, IL 60615 | 2017-04-17 |
| 1205387990 | Kirk Remon Riddle | Counselor | 1525 E. 53rd Street, Suite 425, Chicago, IL 60615 | 2016-10-18 |
| Find all providers in zip 60615 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1245858117 | Emily Victoria Headley | Physician Assistant | 1431 N Western Ave Ste 134, Chicago, IL 60622-1797 | 2020-07-08 |
| 1548884547 | Crystal Afua Amoah | Physician Assistant | 1665 N Orchard St Apt 104, Chicago, IL 60614-5385 | 2020-06-04 |
| 1841814274 | Zubair Aslam Khan | Physician Assistant | 3037 W Wilson Ave Apt 2w, Chicago, IL 60625-4345 | 2020-06-01 |
| 1659991818 | Taylor Nicole Anderson | Physician Assistant | 25 W Randolph St Apt 603, Chicago, IL 60601-3514 | 2020-04-17 |
| 1720616444 | Melanie Doretti | Physician Assistant | 3052 N Seminary Ave Apt 2r, Chicago, IL 60657-6788 | 2020-03-29 |
| 1154958544 | Joerissa Gearlds | Physician Assistant | 5645 W Addison St Rm 353, Chicago, IL 60634-4403 | 2020-03-25 |
| 1932736816 | Taylor Evan Fisher | Physician Assistant | 3033 N Sheridan Rd Apt 301, Chicago, IL 60657-5578 | 2020-03-23 |
| 1285260844 | Krista A Saum | Physician Assistant | 661 W Sheridan Rd Apt 601, Chicago, IL 60613-3311 | 2020-03-16 |
| 1386278430 | Adara Simonelli | Physician Assistant | 6317 S Lorel Avenue, Chicago, IL 60638 | 2020-02-27 |
| Find all providers in CHICAGO | ||||
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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.