Active NPI
Judy A Powell, CRNA
- Certified Registered Nurse Anesthetist
- Dyersburg, TN
National Provider Identifier
1467429548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8779
- Practice address
- 400 E Tickle St
Dyersburg, TN 38024-3120 - Phone
- (731) 285-2410
- NPI assigned
- Mar 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 8779 | TN | Primary |
Addresses
Primary practice location
400 E Tickle St
Dyersburg, TN 38024-3120
Mailing address
PO Box 501041
Saint Louis, MO 63150-0001
Phone (731) 285-2410
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3606317 | Medicaid | TN | |
| 4083431 | Other | TN | BSTN |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8779 | TN | MD | Pharmacist |
| 30217 | TN | MD | Nurse Practitioner |
| 36081 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dyersburg Hospital Company LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Anesthesia Partners PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Dyersburg, TN
- NPI 1396720439
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dyersburg, TN
- NPI 1164471413
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467429548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 501041",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631500001",
"telephone_number": "731-285-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E TICKLE ST",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "380243120",
"telephone_number": "731-285-2410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JUDY",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "8779",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3606317",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSTN",
"identifier": "4083431",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.