Tana M Powell

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

PN.134008-IV Issued in OH

Legal business name

TANA M POWELL

Practice address

4741 Wickford Dr W
Sylvania, OH 43560-3357

Phone

(419) 290-4741

NPI assigned

Apr 9, 2009

Organization subpart

No

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

Authorized official

Name

Tana Marie Powell, LPN

Title

Nurse

Phone

(419) 290-4741

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1831332675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 WICKFORD DR W",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603357",
            "telephone_number": "419-290-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 WICKFORD DR W",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435603357",
            "telephone_number": "419-290-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANA M POWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TANA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "419-290-4741",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "OH",
            "license": "PN.134008-IV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Sylvania, OH
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• Point of Service in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.