Individual provider Active NPI

Christin Nikki Powell, APRN

  • Pediatric Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1548426588
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP05528 Issued in LA
Practice address
1001 W Madison Ave
Bastrop, LA 71220-4331
Phone
(182) 818-4223
Fax
(318) 281-2325
NPI assigned
Jul 30, 2008
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP05528 LA Primary

Addresses

Primary practice location

1001 W Madison Ave
Bastrop, LA 71220-4331

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other identifiers 1

IdentifierTypeStateIssuer
1177393MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20181015000717 LA Practitioner - Nurse Practitioner 4183976418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Morehouse Community Medical Centers, Inc. Nurse Practitioner Current Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Aug 5, 2018 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Aug 5, 2018 Accepting new patients
Morehouse Community Medical Centers, Inc Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

681 Highway 594
Monroe, LA 71203
Phone (318) 556-8454

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

Interoperability endpoints

  • Direct secure messaging: christin.powell.1@11502.direct.athenahealth.com

Organizations & group practices 4

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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1548426588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W MADISON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204331",
            "telephone_number": "182-818-4223",
            "fax_number": "318-281-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "CHRISTIN",
        "middle_name": "NIKKI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1177393",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.