Individual provider Active NPI

Julie Kay Powell, DC, RN, MSN, FNP

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1467495465
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP120351 Issued in TX
Practice address
1304 Village Creek Dr
Suite #300
Plano, TX 75093-4472
Phone
(972) 931-6800
Fax
(972) 248-0840
NPI assigned
Jun 14, 2006
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP120351 TX Primary
Neurology Chiropractor 111NN0400X 7323 TX
Registered Nurse 163W00000X 774439 TX

Addresses

Primary practice location

1304 Village Creek Dr
Suite #300
Plano, TX 75093-4472

Mailing address

PO Box 116762
Carrollton, TX 75011-6762
Phone (972) 931-6800

Other identifiers 3

IdentifierTypeStateIssuer
605768OtherTXBLUE CROSS BLUE SHIELD ID
2971285-01MedicaidTX
2429017OtherTXAETNA ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111214000484 TX Practitioner - Nurse Practitioner 0042123309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1304 Village Creek Dr
Suite 300
Plano, TX 75093-4457
Phone (972) 402-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
774439TXMDRegistered Nurse
AP120351TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Elite Health Clinic, LLC Family CurrentSince Aug 19, 2011 Accepting new patients

Locations

1081 Kinwest Pkwy
Ste 110B
Irving, TX 75063
Phone (972) 402-9700

1304 Village Creek Dr
Ste 300
Plano, TX 75093
Phone (972) 733-0915

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1467495465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116762",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750116762",
            "telephone_number": "972-931-6800",
            "fax_number": "972-248-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 VILLAGE CREEK DR",
            "address_2": "SUITE #300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934472",
            "telephone_number": "972-931-6800",
            "fax_number": "972-248-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JULIE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "DC, RN, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP120351",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "7323",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "774439",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "605768",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2971285-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "2429017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.