Lisa Levida Powell, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

235848 Issued in CA

Practice address

1133 Coloma Way Ste C
Roseville, CA 95661-4480

Phone

(916) 774-6647

NPI assigned

Jan 16, 2019

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1831663426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 NIOBRARA AVE",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066418",
            "telephone_number": "510-253-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLOMA WAY STE C",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614480",
            "telephone_number": "916-774-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "LISA",
        "middle_name": "LEVIDA",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "235848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METHADONE CLINIC",
            "identifier": "10",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ofsania Popal
• Gaea Elena Pope-Daum, PMHNP-BC
• Gerred Lee Popejoy, DC
• Jonathon Douglas Porter, D.O
• Maninder K Powar, M.D.
• Terrissa Powell
• Courtney Nicole Powers, MOT, OTR/L, CHT
• Michaele Pradia
• Eswari Prakasam, M.D.
• Neha Prakash, DO

• Licensed Vocational Nurse in Roseville, CA
• Providers in Roseville, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.