Individual provider Active NPI

Drusilla Saunders Powell, M.D.

  • Pediatrics Physician
  • Chesapeake, VA
National Provider Identifier
1366476855
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101042808 Issued in VA
Practice address
500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871
Phone
(757) 668-2500
Fax
(757) 668-2510
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101042808 VA Primary

Addresses

Primary practice location

500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871

Mailing address

500 Discovery Dr
Suite 302
Chesapeake, VA 23320-3871
Phone (757) 668-2500

Other identifiers 4

IdentifierTypeStateIssuer
463533OtherVAANTHEM
006729967MedicaidVA
13025OtherVAOPTIMA
890568IMedicaidNC

Other names 1

  • Miss Drusilla Evelyn Saunders Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101042808VAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1366476855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY DR",
            "address_2": "SUITE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203871",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DISCOVERY DR",
            "address_2": "SUITE 302",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203871",
            "telephone_number": "757-668-2500",
            "fax_number": "757-668-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "DRUSILLA",
        "middle_name": "SAUNDERS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101042808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "463533",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006729967",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "13025",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890568I",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DRUSILLA",
            "last_name": "SAUNDERS",
            "middle_name": "EVELYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.