Alexia Kristianna Vasquez Powell, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-150624 Issued in AL

Practice address

1118 Ross Clark Cir Ste 302
Dothan, AL 36301-3049

Phone

(334) 699-0060

Fax

(334) 699-0061

NPI assigned

Oct 5, 2021

Last updated

Oct 5, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wiregrass Behavioral Group LLCGroup PAC ID 6103244504, 5 clinicians

Gut PCGroup PAC ID 3375589799, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gut PC

  dba Digestive Health Specialist of the Southeast

  • Gastroenterology Physician
  • Dothan, AL
  • NPI 1073566006
  Medicare reassignment Care Compare group NPD
• Wiregrass Behavioral Group LLC

  • Multi-Specialty Clinic/Center
  • Dothan, AL
  • NPI 1821609389
  Medicare reassignment Care Compare group NPD
• Gut PC

  • Anesthesiology Physician
  • Dothan, AL
  • NPI 1790201903
  NPD
• Jonathan L Skinner LLC

  dba Southern Surgical

  • Surgery Physician
  • Dothan, AL
  • NPI 1528340536
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1750053088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 E COUNTY RD 19",
            "city": "OZARK",
            "state": "AL",
            "postal_code": "36360",
            "telephone_number": "334-796-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 ROSS CLARK CIR STE 302",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013049",
            "telephone_number": "334-699-0060",
            "fax_number": "334-699-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ALEXIA",
        "middle_name": "KRISTIANNA VASQUEZ",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-150624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Porter
• Michael Porterfield, MSW
• Sonia Kristina Portillo, MD
• Janie Posey, RBT
• Cameron Powe, PHD
• Samantha Powell
• Parks Winfield Pratt III, MD
• Precision Wound Care LLC
• Premier Cardiology Associates PLLC
• Premier Cardiology Consultants Inc

• Nurse Practitioner in Dothan, AL
• Providers in Dothan, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.