Active NPI
Jason M Powell, PA
- Physician Assistant
- Austin, TX
National Provider Identifier
1043361702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05014
- Practice address
- 1004 W 32ND St
Ste 400
Austin, TX 78705-1915 - Phone
- (512) 454-5171
- Fax
- (512) 454-0704
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA05014 | TX | Primary |
Addresses
Primary practice location
1004 W 32ND St
Ste 400
Austin, TX 78705-1915
Mailing address
1004 W 32ND St
Ste 400
Austin, TX 78705-1915
Phone (512) 454-5171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA05014 | TX | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1043361702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 W 32ND ST",
"address_2": "STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051915",
"telephone_number": "512-454-5171",
"fax_number": "512-454-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 W 32ND ST",
"address_2": "STE 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787051915",
"telephone_number": "512-454-5171",
"fax_number": "512-454-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JASON",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.