Individual provider Active NPI

Krista Leah Powell, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1295971885
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
689479 Issued in TX
Practice address
301 40TH St
Lubbock, TX 79404-2811
Phone
(806) 743-9355
NPI assigned
Jan 2, 2009
Last updated
Jan 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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 689479 TX Primary

Addresses

Primary practice location

301 40TH St
Lubbock, TX 79404-2811

Mailing address

301 40TH St
Lubbock, TX 79404-2811
Phone (806) 743-9355

Other identifiers 1

IdentifierTypeStateIssuer
689479OtherTXLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090318000475 TX Practitioner - Nurse Practitioner 8628135621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of WardGroup PAC ID 1456261494, shared by 6 NPIs, 19 clinicians

Practice addresses (Care Compare)

406 S Gary Ave
Monahans, TX 79756-4799
Phone (432) 943-2511

813 E 4TH St
Sandhils Fam Clin
Monahans, TX 79756-4015
Phone (432) 943-2068

921 E 4TH St
Sandhills Fam Clin E
Monahans, TX 79756-4016
Phone (432) 943-2057

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preventative Care Health Services, Inc. CurrentSince May 26, 2013 Accepting new patients
County of Ward CurrentSince Jun 27, 2018 Accepting new patients
Preventative Care Health Services, Inc CurrentSince May 26, 2013 Accepting new patients
County of Ward Current Accepting new patients
County of Ward CurrentSince Jun 27, 2018 Accepting new patients

Locations

1605 N State Highway 118
Alpine, TX 79830
Phone (432) 837-4812

406 S Gary Ave
Monahans, TX 79756
Phone (432) 943-2511

813 E 4th St
Monahans, TX 79756
Phone (432) 943-2068

921 E 4th St
Monahans, TX 79756
Phone (432) 923-7052

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230854400000",
    "number": "1295971885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042811",
            "telephone_number": "806-743-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 40TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794042811",
            "telephone_number": "806-743-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KRISTA",
        "middle_name": "LEAH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "689479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "689479",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.