Individual provider Active NPI

Carlee Brooke Powell, FNP

  • Nurse Practitioner
  • Princeton, WV
National Provider Identifier
1083325930
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
100344 Issued in WV
Practice address
324 Oakvale Rd
Princeton, WV 24740-3829
Phone
(304) 431-5499
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 100344 WV Primary

Addresses

Primary practice location

324 Oakvale Rd
Princeton, WV 24740-3829

Mailing address

455 Midway Rd
Crab Orchard, WV 25827-9694

Other names 1

  • Carlee Brooke Powell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721000049 WV Practitioner - Nurse Practitioner 8820458920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
100344WVMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: carlee.powell.1@14333.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1083325930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 MIDWAY RD",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "258279694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 OAKVALE RD",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403829",
            "telephone_number": "304-431-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CARLEE",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "100344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLEE",
            "last_name": "POWELL",
            "middle_name": "BROOKE",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Princeton, WV

Sources for this page

Verify at the official NPI Registry.