Individual provider Active NPI

Tasheka Conella Powell, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1669140711
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
845078 Issued in NV
Practice address
280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone
(702) 759-1000
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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 845078 NV Primary

Addresses

Primary practice location

280 S Decatur Blvd
Las Vegas, NV 89107-2936

Mailing address

6300 McCarran St Unit 2141
North Las Vegas, NV 89081-8126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230714000818 NV Practitioner - Nurse Practitioner 0941660575

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Southern Nevada Health DistrictGroup PAC ID 3375542939, shared by 3 NPIs, 20 clinicians

Practice addresses (Care Compare)

280 S Decatur Blvd
Las Vegas, NV 89107-2936
Phone (702) 759-1000

Hospital & facility affiliations

  • Excell Home Health Services Home health agency, Las Vegas, NV, CCN 297091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
845078NVMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: tasheka.powell@snhd.eclinicaldirectplus.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1669140711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MCCARRAN ST UNIT 2141",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890818126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072936",
            "telephone_number": "702-759-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TASHEKA",
        "middle_name": "CONELLA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "845078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.