Individual provider Active NPI

Garnie Jo Carter-Powell, PA-C

  • Surgical Physician Assistant
  • Redmond, OR
National Provider Identifier
1871540625
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 00691 Issued in OR
Practice address
1315 NW 4TH St
Redmond, OR 97756
Phone
(541) 548-9159
NPI assigned
May 27, 2006
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA 00691 OR Primary

Addresses

Primary practice location

1315 NW 4TH St
Redmond, OR 97756

Mailing address

7995 NW Grubstake Way
Redmond, OR 97756-8964
Phone (541) 749-0349

Other practice location 1

7995 NW Grubstake Way
Redmond, OR 97756-8964
Phone (541) 749-0349

Other identifiers 3

IdentifierTypeStateIssuer
1871540625OtherORNPI
500608031MedicaidOR
PA00691OtherOROMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20050627000242 OR Practitioner - Physician Assistant 1759326135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 00691ORMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC Surgical Current Accepting new patients

Locations

1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 330-8226

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1871540625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7995 NW GRUBSTAKE WAY",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568964",
            "telephone_number": "541-749-0349",
            "fax_number": "541-504-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 NW 4TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-548-9159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7995 NW Grubstake Way",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977568964",
            "country_code": "US",
            "telephone_number": "541-749-0349",
            "fax_number": "541-504-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER-POWELL",
        "first_name": "GARNIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": "PA 00691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871540625",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500608031",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMB",
            "identifier": "PA00691",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.