Tanisha Powell, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

15883 Issued in NV

Practice address

4C North Ave Ste 400
Bel Air, MD 21014

Phone

(410) 638-0239

Fax

(410) 638-0282

NPI assigned

Jun 26, 2012

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1407110364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 400",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210142333",
            "telephone_number": "410-638-0239",
            "fax_number": "410-638-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4C NORTH AVE STE 400",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "21014",
            "telephone_number": "410-638-0239",
            "fax_number": "410-638-0282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4C North Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "21014",
            "country_code": "US",
            "telephone_number": "410-638-0239",
            "fax_number": "410-638-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TANISHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-26",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "15883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407110364",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George Basil Popowych, D.D.S.
• Emily Porte, CRNP
• Hollie Dudrow Porter, MS-CCC SLP
• Armand J Posipanka Jr, DPT
• Bhuwan Raj Poudyal, MD
• Prasad M Nataraj MD PC
• Christina Marie Praydis, MS CCC
• Precious Moments Home Care Services, LLC
• Premier Wellness Healthcare
• Monika Emma Preston, LCPC

• Pediatrics Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Pediatrics Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.