Active NPI
Clifton Demelle Powell Jr.
- Phlebotomy Technician
- Martinsville, VA
National Provider Identifier
1154903151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- Practice address
- 1111 Ranson Rd
Martinsville, VA 24112-4818 - Phone
- (276) 252-0091
- NPI assigned
- Apr 28, 2021
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | VA | Primary |
Addresses
Primary practice location
1111 Ranson Rd
Martinsville, VA 24112-4818
Mailing address
1111 Ranson Rd
Martinsville, VA 24112-4818
Phone (276) 252-0091
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cp27490@email.vccs.edu | Direct |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619568000000",
"number": "1154903151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 RANSON RD",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124818",
"telephone_number": "276-252-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 RANSON RD",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241124818",
"telephone_number": "276-252-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "CLIFTON",
"middle_name": "DEMELLE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cp27490@email.vccs.edu",
"affiliation": "N",
"endpointDescription": "secured direct",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1111 Ranson Rd",
"city": "Martinsville",
"state": "VA",
"country_code": "US",
"postal_code": "241124818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.