Tara Lynn Powell, DNP, APRN, CPNP-PC
Individual provider Active NPI Pediatric Nurse Practitioner · Oakley, KS
NPI 1154936607 · NPPES record last updated Sep 11, 2020
Key facts
- NPI
- 1154936607
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 53-79180-032 (KS)
- Practice address
- 212 Maple Ave
Oakley, KS 67748-1220 - Phone
- (785) 672-3261
- NPI assigned
- Sep 11, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201028001437 | KS | Practitioner - Nurse Practitioner | 4486064755 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53-79180-032 | KS | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Logan | Current | Accepting new patients | |
| County of Logan | Current | Accepting new patients | |
| County of Logan | Current |
Accepting new patients |
Locations
212 Maple Ave
Oakley, KS 67748
Phone (785) 672-3261
211 Cherry Ave
Oakley, KS 67748
Phone (785) 672-1409
1001 Highway 40
Ste 4
Oakley, KS 67748
Phone (785) 672-1441
Interoperability endpoints
- https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4
- tara.powell.1@11985.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 53-79180-032 | KS | Yes |
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
Other providers in Oakley, KS
- Oakley Family Dentistry, LLC
- Oakley Pharmacy LLC
- Oakley Phcy LLC
- Oakley Usd 274
- Jace Stephen Ochs
- Celeste J Rains
- Subir Ray
- Bailey Rae Renner
- Richard P Loftus DDS PA
- Georgetta Schoenfeld
All providers in Oakley, KS · Pediatric Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.