Individual provider Active NPI

Christina Peta-Gail Powell

  • Family Nurse Practitioner
  • Oviedo, FL
National Provider Identifier
1245988377
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028460 Issued in FL
Practice address
8300 Red Bug Lake Rd
Oviedo, FL 32765-6801
Phone
(407) 890-2050
NPI assigned
Mar 17, 2022
Last updated
Sep 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN9366408 FL
Family Nurse Practitioner 363LF0000X APRN11028460 FL Primary

Addresses

Primary practice location

8300 Red Bug Lake Rd
Oviedo, FL 32765-6801

Mailing address

728 Cornwall Rd
Winter Park, FL 32792-4815
Phone (321) 439-4612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250207001690 NC Practitioner - Nurse Practitioner 3274063110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Univ of Central Florida, College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

615 Ridge Rd
Roxboro, NC 27573-4629
Phone (336) 599-2121

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9366408FLMDEmergency Registered Nurse
APRN11028460FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Person Urgent Care LLC CurrentSince Mar 1, 2025 Accepting new patients
DLP Person Urgent Care LLC CurrentSince Mar 1, 2025 Accepting new patients
Emergency Coverage, LLC CurrentSince Mar 1, 2025 Accepting new patients
Medaccess Urgent Care, PLLC Past Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3762 Durham Rd
Ste A
Roxboro, NC 27573
Phone (336) 330-0400

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

700 US 1 Hwy
Ste 100
Youngsville, NC 27596
Phone (919) 562-2340

Interoperability endpoints

  • Direct secure messaging: christina.powell.1@20247.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694822400000",
    "number": "1245988377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 CORNWALL RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924815",
            "telephone_number": "321-439-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 RED BUG LAKE RD",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656801",
            "telephone_number": "407-890-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CHRISTINA",
        "middle_name": "PETA-GAIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-17",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "FL",
            "license": "RN9366408",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

Verify at the official NPI Registry.