Kimberly Michelle Powell, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5008818 Issued in NC

Practice address

2501 Homestead Rd
Chapel Hill, NC 27516-9087

Phone

(919) 245-2400

Fax

(919) 968-2013

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberly.powell@wcfamilypractice.directbygreenway.com

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.

• Campus Health Services

  • Clinic/Center
  • Chapel Hill, NC
  • NPI 1356368708
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1467804674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HOMESTEAD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169087",
            "telephone_number": "919-245-2400",
            "fax_number": "919-968-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 HOMESTEAD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275169087",
            "telephone_number": "919-245-2400",
            "fax_number": "919-968-2013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Tryon St",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272782438",
            "country_code": "US",
            "telephone_number": "919-245-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Elizabeth Poulos
• Levonne Powell-Tillman, MD
• Bradford Cole Powell, M.D., PH.D.
• Christina White Powell, LCSW
• Cynthia Powell, MD
• Lindsay Powell
• Remy Powell, MD
• William Ingram Powell IV, F.N.P.
• Sydney Power, MD
• Powerback Rehabilitation LLC

• Family Nurse Practitioner in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.