Stanley Wayne Powell Jr., MS OTR/L

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

OTR2311 Issued in AR

Practice address

13073 SE 26TH St Apt D101
Bellevue, WA 98005-4262

Phone

(479) 651-8289

NPI assigned

Jul 23, 2010

Sex

Male

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279843200000",
    "number": "1194038786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HILLS CT",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235451",
            "telephone_number": "479-651-8289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13073 SE 26TH ST APT D101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980054262",
            "telephone_number": "479-651-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "STANLEY",
        "middle_name": "WAYNE",
        "name_suffix": "Jr.",
        "credential": "MS OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "AR",
            "license": "OTR2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine J Potts, MD
• Lauren Potts, ND
• Lauren Amelia Poulson, RN
• Lian-Tien Pouw, MD
• Mariia V Povzner, LMT
• Terrell Powell, LMHCA
• Theresa Powell
• Trey B Powell
• Dayna Marie Powers, LMT
• Cheryl Poynor, LICSW

• Community Health Worker in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Community Health Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.