Active NPI
Tracey Earnette Powell, DNP
- Military Hospital
- Monterey, CA
National Provider Identifier
1588853816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Hospital
- License
- RN284714APRNCNP10013
- Practice address
- 473 Cabrillo St # B422
Monterey, CA 93944-3201 - Phone
- (831) 242-4328
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RN284714 | OH | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | RN284714 | OH | |
| Military Hospital | 286500000X | RN284714APRNCNP10013 | OH | Primary |
Addresses
Primary practice location
473 Cabrillo St # B422
Monterey, CA 93944-3201
Mailing address
1135 3Rd St
Monterey, CA 93940-3333
Phone (614) 565-8939
Other practice location 1
1 Jarrett White Rd
Tripler Army Medical Center ATTN: MCHK-QS
Tripler Amc, HI 96859-5001
Phone (808) 433-2460
Other practice location 2
9040 Jackson Ave Attn: Credentials Office
Tacoma, WA 98431-3201
Phone (253) 968-1290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588853816 | Other | NPI # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN284714APRNCNP10013 | OH | MD | Military Hospital |
| RN284714 | OH | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564531200000",
"number": "1588853816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 3RD ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403333",
"telephone_number": "614-565-8939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "473 CABRILLO ST # B422",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939443201",
"telephone_number": "831-242-4328"
}
],
"practiceLocations": [
{
"address_1": "1 Jarrett White Rd",
"address_2": "Tripler Army Medical Center ATTN: MCHK-QS",
"address_purpose": "LOCATION",
"city": "Tripler Amc",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-2460",
"fax_number": "808-433-1558",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9040 Jackson Ave Attn: Credentials Office",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984313201",
"country_code": "US",
"telephone_number": "253-968-1290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POWELL",
"first_name": "TRACEY",
"middle_name": "EARNETTE",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-23",
"last_updated": "2019-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "RN284714",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "OH",
"license": "RN284714",
"primary": false
},
{
"code": "286500000X",
"taxonomy_group": "",
"desc": "Military Hospital",
"state": "OH",
"license": "RN284714APRNCNP10013",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI #",
"identifier": "1588853816",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.