Mark H Powell, MSN, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN077937 Issued in AZ

Practice address

675 Thunderbolt Ave
Lake Havasu City, AZ 86406-7100

Phone

(928) 486-2910

NPI assigned

Apr 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Foundation Home Health LLC

  • Home Health Agency
  • Lake Havasu City, AZ
  • NPI 1811402332
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1689991887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 THUNDERBOLT AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067100",
            "telephone_number": "928-486-2910",
            "fax_number": "928-415-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 THUNDERBOLT AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864067100",
            "telephone_number": "928-486-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARK",
        "middle_name": "H",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN077937",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "AZ",
            "license": "RN077937",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN077937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Posso, LDO
• Powar Pain Clinic
• Mandeep Powar, M.D.
• Ashley Renae Powell, FNP
• Karen Ann Powell, P T
• Tanya Powell, MA, LPC
• Powers Family Practice PC
• Praise Pediatrics LLC
• Adrienne A Prater
• Michael Edward Prater, M.D.

• Psychiatric/Mental Health Registered Nurse in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Psychiatric/Mental Health Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.