Individual provider Active NPI

Payton Powers, MA CCC-SLP

  • Speech-Language Pathologist
  • Memphis, TN
National Provider Identifier
1376283515
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7398 Issued in TN
Practice address
4075 Park Ave, Memphis
Memphis, TN 38152
Phone
(901) 282-9090
NPI assigned
Mar 29, 2022
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7398 TN Primary

Addresses

Primary practice location

4075 Park Ave, Memphis
Memphis, TN 38152

Mailing address

102 Clark PL Apt 1
Memphis, TN 38104-2419
Phone (901) 282-9090

Other identifiers 1

IdentifierTypeStateIssuer
7398OtherTNSLP TN STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Payton.powers@harwoodcenter.org Direct Harwood Center

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
7398TNMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: payton.powers@harwoodcenter.org

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1376283515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 CLARK PL APT 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042419",
            "telephone_number": "901-282-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 PARK AVE, MEMPHIS",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38152",
            "telephone_number": "901-282-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "PAYTON",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-10-28",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "7398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SLP TN STATE LICENSE",
            "identifier": "7398",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Payton.powers@harwoodcenter.org",
            "affiliation": "Y",
            "endpointDescription": "HIPPA complaint work email",
            "affiliationName": "Harwood Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "711 Jefferson Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381055003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.