Individual provider Active NPI

Christopher Orion Powell

  • Pulmonary Function Technologist Registered Respiratory Therapist
  • Otsego, MN
National Provider Identifier
1528731650
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Function Technologist Registered Respiratory TherapistTaxonomy code 2279P1006X
License
5058 Issued in MN
Practice address
12361 72ND St NE
Otsego, MN 55330-5097
Phone
(520) 548-0084
NPI assigned
Jul 26, 2021
Last updated
May 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Function Technologist Registered Respiratory Therapist 2279P1006X 5058 MN Primary

Addresses

Primary practice location

12361 72ND St NE
Otsego, MN 55330-5097

Mailing address

12361 72ND St NE
Otsego, MN 55330-5097
Phone (520) 548-0084

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

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1528731650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 72ND ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553305097",
            "telephone_number": "520-548-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 72ND ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553305097",
            "telephone_number": "520-548-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CHRISTOPHER",
        "middle_name": "ORION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-26",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1006X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": "MN",
            "license": "5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Otsego, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.