Mary V Powell, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

542206 Issued in CA

Practice address

289 W Huntington Dr Ste 205
Arcadia, CA 91007-3492

Phone

(626) 353-8531

NPI assigned

Dec 2, 2005

Last updated

Sep 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healthcom Medical Group, Inc

  dba Healthcom Infusion Therapy

  • Infusion Therapy Clinic/Center
  • Arcadia, CA
  • NPI 1952700239
  NPD (past)
• Saint Joseph Mercy Livingston Hospital

  • Certified Registered Nurse Anesthetist
  • Brighton, MI
  • NPI 1922127976
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1740264779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR",
            "address_2": "SUITE 205",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073495",
            "telephone_number": "626-353-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W HUNTINGTON DR STE 205",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910073492",
            "telephone_number": "626-353-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "MARY",
        "middle_name": "V",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "542206",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "542206",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "542206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "479594",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430079592",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald J Portocarrero, D.O.
• Craig Robert Potter, DDS
• Jefferson Senkwan Pou, PSY.D.
• Morris Powazek, PHD
• Brandi Powell, PT/DPT
• Thomas William Powers, M.D.
• Practicare Home Health Agency
• Imelda Prado
• Pratap Saraf MD, Inc.
• Rebecca Pratt

• Administrator Registered Nurse in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.