Individual provider Active NPI

Sasha Miranda Powell, FNP-BC

  • Family Nurse Practitioner
  • Danville, IL
National Provider Identifier
1487942033
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277002267 Issued in IL
Practice address
14 W Woodbury St
Danville, IL 61832
Phone
(217) 202-2438
Fax
(217) 225-0725
NPI assigned
Jul 18, 2011
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277002267 IL Primary

Addresses

Primary practice location

14 W Woodbury St
Danville, IL 61832

Mailing address

17100 N 600 East Rd
Fithian, IL 61844-5104
Phone (217) 202-2438

Other practice location 1

17100 N 600 East Rd
Fithian, IL 61844-5104
Phone (217) 202-2438

Other names 1

  • Sasha Miranda Pryer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20120404000986 IL Practitioner - Nurse Practitioner 0749440436

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277002267ILMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1487942033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 N 600 EAST RD",
            "city": "FITHIAN",
            "state": "IL",
            "postal_code": "618445104",
            "telephone_number": "217-202-2438",
            "fax_number": "217-202-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W WOODBURY ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "61832",
            "telephone_number": "217-202-2438",
            "fax_number": "217-225-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17100 N 600 East Rd",
            "address_purpose": "LOCATION",
            "city": "Fithian",
            "state": "IL",
            "postal_code": "618445104",
            "country_code": "US",
            "telephone_number": "217-202-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SASHA",
        "middle_name": "MIRANDA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SASHA",
            "last_name": "PRYER",
            "middle_name": "MIRANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, IL

Sources for this page

Verify at the official NPI Registry.