Active NPI
Melika Kathleen Powell, FNP
- Family Nurse Practitioner
- Ladera Ranch, CA
National Provider Identifier
1376814202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN1024427
- Practice address
- 27522 Antonio Pkwy Ste P3
Ladera Ranch, CA 92694-2166 - Phone
- (949) 267-3141
- NPI assigned
- Jan 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN1024427 | DC | Primary |
Addresses
Primary practice location
27522 Antonio Pkwy Ste P3
Ladera Ranch, CA 92694-2166
Mailing address
41 Dawnwood
Ladera Ranch, CA 92694-0302
Phone (978) 886-2532
Other practice location 1
3800 Reservoir Rd NW
2 Main
Washington, DC 20007-2113
Phone (202) 444-0395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urgent Care Clinic/Center
- Ladera Ranch, CA
- NPI 1114588704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588982400000",
"number": "1376814202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 DAWNWOOD",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926940302",
"telephone_number": "978-886-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27522 ANTONIO PKWY STE P3",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942166",
"telephone_number": "949-267-3141"
}
],
"practiceLocations": [
{
"address_1": "3800 Reservoir Rd NW",
"address_2": "2 Main",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200072113",
"country_code": "US",
"telephone_number": "202-444-0395",
"fax_number": "202-444-0336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "MELIKA",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-24",
"last_updated": "2020-05-09",
"certification_date": "2020-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DC",
"license": "RN1024427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.