Clydette Linda Powell, MD

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

MD33940 Issued in DC

Practice address

111 Michigan Ave NW
Children's National Medical Center, Id Div-Sis Clinic
Washington, DC 20010-2978

Phone

(202) 712-0027

Fax

(202) 216-3702

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073688487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N STUART ST",
            "address_2": "APT 902",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222015710",
            "telephone_number": "703-284-0439",
            "fax_number": "202-216-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "address_2": "CHILDREN'S NATIONAL MEDICAL CENTER, ID DIV-SIS CLINIC",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102978",
            "telephone_number": "202-712-0027",
            "fax_number": "202-216-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CLYDETTE",
        "middle_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "DC",
            "license": "MD33940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrien Powell
• Ama Gyaamah Powell, COTA, LMT
• Arnell Powell
• Audrey Powell, PT, DPT
• Christopher C Powell
• Damon Powell
• Daniel Powell, MD
• Danielle Sturgeon Powell, AU.D.
• David Powell, MD
• Edwin Witt Powell, PH.D

• Neurology with Special Qualifications in Child Neurology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Neurology with Special Qualifications in Child Neurology Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.