ROBERT TODD POWELL (NPI# 1922061142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922061142 |
| Entity Type | Individual |
| Full Name | ROBERT TODD POWELL |
| Credential | IDC |
| Practice Address |
14090 Crestwick Dr E Jacksonville FL 32218-8432 |
| Mailing Address |
Bldg2 Destroyer Squadron Fourteen Medical Mayport FL 32228 |
| Practice Telephone | 9047517463 |
| Mailing Telephone | 9042705524 |
| Mailing Fax Number | 9042707038 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043840283 | Robert Powell | Student in an Organized Health Care Education/Training Program | 6200 Montano Plaza Dr Nw Apt 2322, Albuquerque, NM 87120-5784 | 2020-01-16 |
| 1427436617 | Robert Powell | Community Health Worker | 726 9th Ave Apt 204, Huntington, WV 25701-2741 | 2015-05-08 |
| 1629461504 | Robert Powell | Counselor | 2513 5th St, Peru, IL 61354-2401 | 2015-03-16 |
| 1922448760 | Robert Andre Powell II | Counselor | 700 W University Ave, Apt 2--104, Flagstaff, AZ 86001-6368 | 2013-06-25 |
| 1912261033 | Robert Alan Powell | Family Medicine | Womack Army Medical, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2012-07-03 |
| 1558506402 | Robert Ryan Powell | Optometrist | 893 Shuttleworth Dr, Erie, CO 80516-7242 | 2008-12-06 |
| 1407046915 | Robert Powell | Dentist | 16717 Highway 17, Suite 224, Hampstead, NC 28443 | 2007-07-31 |
| 1962565903 | Robert Alan Powell | Dentist | 977 York Rd, Dillsburg, PA 17019-9401 | 2006-12-19 |
| 1548330913 | Robert Ernest Powell | Dentist | 10 A Yorkshire Street, Suite B, Asheville, NC 28803 | 2006-11-09 |
| 1922066091 | Robert Edward Powell | Physician Assistant | 5013 Whisper Wind Dr, Wichita Falls, TX 76310-3075 | 2006-05-01 |
| Street Address |
14090 CRESTWICK DR E |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32218-8432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684170 | Damon Lamar Baker | Nurse Practitioner | 12533 Sampson Rd, Jacksonville, Fl, FL 32218 | 2020-09-21 |
| 1578199303 | First Coast Health Ventures, LLC | Skilled Nursing Facility | 15480 Max Leggett Parkway, Jacksonville, FL 32218 | 2020-03-12 |
| 1932679594 | Alaina Rachelle Stanley | Counselor | 11683 Spring Board Dr, Jacksonville, FL 32218 | 2018-11-27 |
| 1508345133 | War Cry Ministry Inc | Counselor | 435 Eric Ave, Jacksonville, FL 32218 | 2018-08-14 |
| 1285111484 | St Vincent's Full Service Urgent Care, LLC | Clinic/Center | 15510 Max Leggett Parkway, Ste A, Jacksonville, FL 32218 | 2018-07-20 |
| 1427544501 | Derrick Roberts | Behavioral Analyst | 11302 Forestdale Rd, Jacksonville, FL 32218 | 2018-07-02 |
| 1215420229 | Companion & Compassion LLC | Home Health | 856 Poydras Ln W, Jacksonville, FL 32218 | 2018-06-13 |
| 1952894784 | Michael Alexander Aaro | Dentist | 1840 Dunn Ave Ste 3, Jacksonville, FL 32218 | 2018-06-06 |
| 1235629445 | Melissa C Moree | Counselor | 13453 Main St. North, Suite 104, Jacksonville, FL 32218 | 2018-05-14 |
| 1861900896 | Sheila Nowlin | Physical Therapist | 1034 Dunn Ave, Jacksonville, FL 32218 | 2018-01-11 |
| Find all providers in zip 32218 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639793748 | Johnathon T Brewer | Military Health Care Provider | 100 White St, Jacksonville, NC 28540 | 2020-06-04 |
| 1740803725 | Alanna Gonzalez | Military Health Care Provider | 1453 Lindseys Crossing Dr, Jacksonville, FL 32218-8088 | 2020-05-25 |
| 1538793849 | Alberto Kris Cipollone | Military Health Care Provider | Bon Homme Richard Ave Bldg 2480, Jacksonville, FL 32246-0046 | 2020-02-25 |
| 1376175794 | James Ernest Claypool | Military Health Care Provider | 12411 Glenn Hollow Dr, Jacksonville, FL 32226-2349 | 2020-02-05 |
| 1316584543 | Christina Koch | Military Health Care Provider | 104 Eagle River Ct, Jacksonville, NC 28540-7745 | 2019-12-06 |
| 1174043244 | Jason Waters | Military Health Care Provider | White St, Bldg As-100, Jacksonville, NC 28540 | 2017-06-21 |
| 1023546108 | Gregory Donald Willden | Military Health Care Provider | Bon Homme Richard St, Bldg 2480, Jacksonville, FL 32228 | 2017-06-01 |
| 1285179077 | Bill Lee Todd Davis | Military Health Care Provider | 1151 Murrill Hill Rd, Jacksonville, NC 28540-8662 | 2017-01-03 |
| 1235681545 | Huriel A Rivera Aponte | Military Health Care Provider | Naval Station Mayport, Surflant Medical Readiness Division Detachment Mayport, Jacksonville, FL 32228 | 2016-11-03 |
| 1659727444 | Michael Phoenix Mcfarland | Military Health Care Provider | 898 Enterprise St Unit A, Jacksonville, FL 32227-1202 | 2016-05-11 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32218 |
Please comment or provide details below to improve the information on ROBERT TODD POWELL.
| 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.