SHELLY POWERS


Address: 6th and Bryant St Nw Annex 1 #116, Washington, DC 20059-0001
Phone: 2028066201

SHELLY POWERS (NPI# 1588177752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588177752
Entity Type Individual
Full Name SHELLY POWERS
Practice Address 6th and Bryant St Nw Annex 1 #116
Washington
DC 20059-0001
Mailing Address 1115 Mandarin Dr
Upper Marlboro
MD 20774-7023
Practice Telephone 2028066201
Mailing Telephone 3013903370
Enumeration Date 2017-11-10
Last Update Date 2017-11-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6TH AND BRYANT ST NW ANNEX 1 #116
City WASHINGTON
State DC
Zip Code 20059-0001

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1386271377 Megan Keiko Phillip Student in an Organized Health Care Education/Training Program 600w St Nw, #2005, Washington, DC 20059 2020-03-27
1396300174 Daniel Omar Nepaul Student in an Organized Health Care Education/Training Program Howard University Hospital, 2041 Georgia Avenue, Washington, DC 20059 2019-05-07
1104323930 Jonathan Anthony Mitchell Student in an Organized Health Care Education/Training Program 2041 Georiga Ave Nw, Washington, DC 20059 2018-04-09
1023466950 Eugene Kojo Oteng Emergency Medicine Howard Univeristy Hospital, 2041 Georgia Ave Nw, Washington, DC 20059 2016-06-01
1043418999 Charmil Spooner Specialist/Technologist 6th & Girard St. Nw, Washington, DC 20059 2007-07-03
1336276328 Karen C Kwok Registered Nurse 2139 Georgia Ave Nw Fl 2, Washington, DC 20059 2007-02-27
1407419013 Zain Asghar Student in an Organized Health Care Education/Training Program Howard University Hospital, 2041 Georgia Ave Nw, Washington, DC 20059 2019-04-18
1518451053 Blain Belayneh Physician Assistant 2041 Georgia Ave Nw, Washington, DC 20059 2018-06-18
1417441940 Naeema Ahmed Physician Assistant 2041 Georgia Ave Nw, Washington, DC 20059 2018-06-18
1518459049 Samuel Casey Morrison Physician Assistant 2041 Georgia Ave Nw, Washington, DC 20059 2018-05-31
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1174985220 Robert Matthew Cronin Physician Assistant 3800 Reservoir Rd. Nw, 4phc, Washington, DC 20007 2016-03-27
1639540529 Jennifer Quyen Tran Physician Assistant 332 18th Pl Ne Apt 4, Washington, DC 20002-6650 2015-10-17
1487023511 Christina Russo Physician Assistant 2021 K St Nw Ste 512, Washington, DC 20006-1003 2015-09-18
1194148031 Luminita Ellis Physician Assistant 3700 N Capitol St Nw # 252, Washington, DC 20011-8400 2014-01-29
1518235167 Anoa Gibson-hunter Physician Assistant 4221 Argyle Ter Nw, Washington, DC 20011-4241 2011-12-11
1295014330 Annise Claude Physician Assistant 2021 K St Nw Ste 210, Washington, DC 20006-1003 2011-08-08
1982905048 Dennis Anthony Siracusa Physician Assistant 3290 Aberfoyle Pl Nw, Washington, DC 20015-2356 2010-11-05
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Competitor

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City WASHINGTON
Zip Code 20059

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Dataset Information

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.

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