Jalyssia D Powell, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

1191934 Issued in TX

Practice address

3529 Denton Hwy
Haltom City, TX 76117-3293

Phone

(817) 779-0707

NPI assigned

May 18, 2026

Last updated

May 18, 2026By the provider in NPPES

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

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": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1972432599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 GREENSHAVEN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761128720",
            "telephone_number": "817-779-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "761173293",
            "telephone_number": "817-779-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JALYSSIA",
        "middle_name": "D",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "1191934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mawaqi Fakihah Peters, CPT 1
• Chuong Van Pham, D.C.
• Donna Duyen Pham
• Tiana Hoang Thy Pham, D.D.S.
• Kristen R. Potts, RDH
• Primrose Dental Group, PLLC
• Primrose Dental PLLC
• Kristin Pustejovsky, M.S., CCC-SLP
• Andrea Quigley, LPN
• Natasha Mathew Raju

• Licensed Vocational Nurse in Haltom City, TX
• Providers in Haltom City, TX by specialty
• Licensed Vocational Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.