Active NPI
Stephanie Renee Powell
- Nurse's Aide
- Clayton, NC
National Provider Identifier
1407547474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 573788
- Practice address
- 90 Club Connection Blvd Apt 101
Clayton, NC 27527-8619 - Phone
- (347) 939-4145
- NPI assigned
- May 18, 2023
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 573788 | NC | Primary |
Addresses
Primary practice location
90 Club Connection Blvd Apt 101
Clayton, NC 27527-8619
Mailing address
PO Box 22
Clayton, NC 27528-0022
Phone (347) 939-4145
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573788 | NC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1407547474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275280022",
"telephone_number": "347-939-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 CLUB CONNECTION BLVD APT 101",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275278619",
"telephone_number": "347-939-4145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "STEPHANIE",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": "NC",
"license": "573788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.