Active NPI
Carla Araceli Powell, M.S., CCC-SLP
- Speech-Language Pathologist
- Bryan, TX
National Provider Identifier
1447541735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 111494
- Practice address
- 1201 Ridgedale St
Bryan, TX 77803-3722 - Phone
- (979) 209-2780
- NPI assigned
- Apr 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT81585 | TX | |
| Speech-Language Pathologist | 235Z00000X | 111494 | TX | Primary |
Addresses
Primary practice location
1201 Ridgedale St
Bryan, TX 77803-3722
Mailing address
2001 Ravenstone Loop
College Station, TX 77845-4871
Phone (956) 739-6484
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT81585 | TX | MD | Registered Dietitian |
| 111494 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663891200000",
"number": "1447541735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 RAVENSTONE LOOP",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778454871",
"telephone_number": "956-739-6484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RIDGEDALE ST",
"city": "BRYAN",
"state": "TX",
"postal_code": "778033722",
"telephone_number": "979-209-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "CARLA",
"middle_name": "ARACELI",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TX",
"license": "DT81585",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "111494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.