Active NPI
Tina Margareta Powell, APRN
- Family Nurse Practitioner
- Redmond, WA
National Provider Identifier
1942480470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3040044405
- Practice address
- 5109 280TH LN NE
Redmond, WA 98053-8829 - Phone
- (425) 880-6677
- NPI assigned
- Nov 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3040044405 | UT | Primary |
Addresses
Primary practice location
5109 280TH LN NE
Redmond, WA 98053-8829
Mailing address
5109 280TH LN NE
Redmond, WA 98053-8829
Phone (425) 880-6677
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3040044405 | UT | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194912000000",
"number": "1942480470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 280TH LN NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980538829",
"telephone_number": "425-880-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 280TH LN NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980538829",
"telephone_number": "425-880-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "TINA",
"middle_name": "MARGARETA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-13",
"last_updated": "2007-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "3040044405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redmond, WA
- Kathleen Marie Porucznik, MACCC/SLP
- Vanessa Poston
- Donald E Potter, M.D.
- Kathy Strande Pouncy, LMP
- Ronald O. Powell, PHD
- David Alan Power, LMT
- Praka Sahi DDS PS (Bel Red Dentists)
- Premier Therapeutic Experience
- Premise Health of Ohio Medical, P.a (LIving Well Health Center)
- Shannon Anneke Price, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.