Individual provider Active NPI

Kenya Powell, CRNP

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1235527680
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-088911 Issued in AL
Practice address
50 Medical Park Dr E
Birmingham, AL 35235-3401
Phone
(205) 270-7289
NPI assigned
Jan 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-088911 AL Primary

Addresses

Primary practice location

50 Medical Park Dr E
Birmingham, AL 35235-3401

Mailing address

3651 Morgans Run Pkwy
Bessemer, AL 35022-1628
Phone (205) 260-7289

Other names 1

  • Mrs. Kenya Powelll Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20151222001746 AL Practitioner - Nurse Practitioner 2365743028 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Hospital Medicine PCGroup PAC ID 8325044597, 26 clinicians

Practice addresses (Care Compare)

50 Medical Park E Dr
Birmingham, AL 35235-3401
Phone (205) 838-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-088911ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Hospital Medicine PC CurrentSince Nov 14, 2015 Accepting new patients
Russellville Hospital Inc CurrentSince Mar 1, 2023 Accepting new patients
Russellville Hospital Inc CurrentSince Mar 1, 2023 Accepting new patients
Eastern Hospital Medicine PC CurrentSince Nov 14, 2015 Accepting new patients
Russellville Hospital Inc Past Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

Interoperability endpoints

  • FHIR API: https://fhir.yourcareuniverse.net/tenant/15210b52-659d-4e08-a38d-3a74b25af386

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1235527680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 MORGANS RUN PKWY",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350221628",
            "telephone_number": "205-260-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MEDICAL PARK DR E",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353401",
            "telephone_number": "205-270-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KENYA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-088911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENYA",
            "last_name": "POWELLL",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.