Individual provider Active NPI

Tara Lynn Powell, DNP, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Oakley, KS
National Provider Identifier
1154936607
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
53-79180-032 Issued in KS
Practice address
212 Maple Ave
Oakley, KS 67748-1220
Phone
(785) 672-3261
NPI assigned
Sep 11, 2020
Last updated
Sep 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 53-79180-032 KS Primary

Addresses

Primary practice location

212 Maple Ave
Oakley, KS 67748-1220

Mailing address

215 E Pine St
Colby, KS 67701-3419
Phone (785) 443-3284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20201028001437 KS Practitioner - Nurse Practitioner 4486064755 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-79180-032KSMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Logan Current Accepting new patients
County of Logan Current Accepting new patients
County of Logan CurrentSince Sep 22, 2020 Accepting new patients

Locations

1001 Highway 40
Ste 4
Oakley, KS 67748
Phone (785) 672-1441

211 Cherry Ave
Oakley, KS 67748
Phone (785) 672-1409

212 Maple Ave
Oakley, KS 67748
Phone (785) 672-3261

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tara.powell.1@11985.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1154936607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E PINE ST",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013419",
            "telephone_number": "785-443-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "DNP, APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "KS",
            "license": "53-79180-032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakley, KS

Sources for this page

Verify at the official NPI Registry.