Tysha Moana Powell, AU.D

Primary specialty

AudiologistTaxonomy code 231H00000X

License

80517 Issued in TX

Practice address

5001 Spring Valley Rd
Suite 400E
Dallas, TX 75244-3946

Phone

(972) 383-1330

NPI assigned

Dec 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1841474491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 WAVERTREE RD",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344251",
            "telephone_number": "404-484-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD",
            "address_2": "SUITE 400E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "972-383-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TYSHA",
        "middle_name": "MOANA",
        "name_prefix": "Dr.",
        "credential": "AU.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-18",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "GA",
            "license": "AUD003621",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "80517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Diane Powell, LMFT-A
• Melissa Frances Powell, M.S. CCC-SLP
• Molly Joyce Powell, LPC
• Sharonica Powell
• Stephanie Michelle Powell, M.S. CCC-SLP
• Power Performance and Rehabilitation
• Power Transport Unlimited
• Alyssa Power, MD
• Raven Nichol Power, BSN, MSN, FNP
• Powerback Rehabilitation LLC

• Audiologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.