JASON D POWELL (NPI# 1427349224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427349224 |
Entity Type | Individual |
Full Name | JASON D POWELL |
Credential | NP |
Practice Address |
5366 Mendenhall Mall Memphis TN 38115-4505 |
Mailing Address |
2595 Central Ave Memphis TN 38104 |
Practice Telephone | 9012716100 |
Practice Fax Number | 9012716199 |
Mailing Telephone | 9012608551 |
Mailing Fax Number | 9012608590 |
Enumeration Date | 2011-04-27 |
Last Update Date | 2012-03-15 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 180760 | TN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
15618 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1525673 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114403318 | Jason Matthew Powell | Peer Specialist | 1025 S Keeler Ave, Bartlesville, OK 74003-4754 | 2018-07-11 |
1740631035 | Jason Avery Powell | Specialist/Technologist | 211 Lancaster Dr, Anderson, SC 29621-1969 | 2016-06-28 |
1144601113 | Jason Powell | Physical Therapist | 645 Castle Hill Rd, Redwood City, CA 94061-1101 | 2015-06-15 |
1073715389 | Jason Eric Powell | Speech-Language Pathologist | 801 Little Cub Way, Euless, TX 76039-6086 | 2007-05-31 |
1306458948 | Jason Dallas Powell | Pharmacist | 8 W Main St, Le Roy, NY 14482-1312 | 2020-08-17 |
1922619386 | Jason Powell | Counselor | 18537 1st Ave S Ste B, Normandy Park, WA 98148-1867 | 2020-08-11 |
1437656220 | Jason Powell | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Palo Alto, CA 94305-2200 | 2018-04-09 |
1760985352 | Jason Powell | Physical Therapist | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2018-03-09 |
1568623569 | Jason A Powell | Radiology | 655 W 8th St, Jacksonville, FL 32209-6511 | 2008-06-23 |
1336289248 | Jason William Powell | Dentist | 7250 Parkway Dr, Suite 400, Hanover, MD 21076-1388 | 2007-02-08 |
Street Address |
5366 MENDENHALL MALL |
City | MEMPHIS |
State | TN |
Zip Code | 38115-4505 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770573131 | Kahala C Cannon | Dentist | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2005-10-26 |
1497208177 | Gina Sabbatini | Physician Assistant | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2016-07-28 |
1295288983 | Sarah Shuler | Physician Assistant | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2016-07-28 |
1811356645 | Annalyse Faulk | Physician Assistant | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2016-02-22 |
1003236217 | Christina Brown Tran | Family Medicine | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2014-04-27 |
1114347366 | Tessa Denzin | Physician Assistant | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2014-04-25 |
1417398553 | Shawna Clark | Dentist | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2013-07-16 |
1154764397 | Ana Patricia Carasusan | Pediatrics | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2013-04-08 |
1326307596 | Katherine G Barger | Pediatrics | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2012-05-09 |
1992062517 | Maria Del Carmen Fernandez | Family Medicine | 5366 Mendenhall Mall, Memphis, TN 38115-4505 | 2012-04-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
Find all providers in zip 38115 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
Find all providers in MEMPHIS |
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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.