Individual provider Active NPI

Selah J Powell, CCC-SLP

  • Speech-Language Pathologist
  • Anchorage, AK
National Provider Identifier
1770256877
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
181017 Issued in AK
Practice address
1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511
Phone
(907) 229-8933
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 181017 AK Primary

Addresses

Primary practice location

1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511

Mailing address

6710 Round Tree Dr
Anchorage, AK 99507-7017
Phone (907) 440-4354

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

LicenseStateTypeSpecialty
181017AKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatric Therapy CurrentSince Aug 1, 2021 Accepting new patients
Joined on the Journey Speech & Language Therapy Speech-Language Pathologist Current Accepting new patients

Locations

4325 Laurel St
Ste 102
Anchorage, AK 99508
Phone (907) 569-5660

1130 W Dimond Blvd
Ste B
Anchorage, AK 99515
Phone (205) 919-2228

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1770256877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 ROUND TREE DR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995077017",
            "telephone_number": "907-440-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W DIMOND BLVD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151511",
            "telephone_number": "907-229-8933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SELAH",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AK",
            "license": "181017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.