Individual provider Active NPI

Richard Anthony Michael Powell, APH,NMD,CAC,PHD

  • Acupuncturist
  • Twin Falls, ID
National Provider Identifier
1437279510
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACC195 Issued in ID
Practice address
676 Shoup Ave W Ste 14
Twin Falls, ID 83301-4615
Phone
(208) 392-1829
Fax
(888) 915-0796
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Acupuncturist 171100000X ACC195 ID Primary
Pastoral Counselor 101YP1600X
Clinical Neuropsychologist 103G00000X

Addresses

Primary practice location

676 Shoup Ave W Ste 14
Twin Falls, ID 83301-4615

Mailing address

676 Shoup Ave W Ste 14
Twin Falls, ID 83301-4615
Phone (208) 392-1829

Other practice location 1

2068 Addison Ave E
Twin Falls, ID 83301-5306
Phone (208) 392-1829

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpowell@andi.us

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 Philosophy

State licenses

LicenseStateTypeSpecialty
ACC195IDMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1437279510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 SHOUP AVE W STE 14",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014615",
            "telephone_number": "208-392-1829",
            "fax_number": "888-915-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 SHOUP AVE W STE 14",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833014615",
            "telephone_number": "208-392-1829",
            "fax_number": "888-915-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2068 Addison Ave E",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833015306",
            "country_code": "US",
            "telephone_number": "208-392-1829",
            "fax_number": "800-948-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY MICHAEL",
        "name_prefix": "Dr.",
        "credential": "APH,NMD,CAC,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACC195",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpowell@andi.us",
            "affiliation": "N",
            "address_1": "676 Shoup Ave W Ste 14",
            "city": "Twin Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "833014615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.