Active NPI
Sandrika Powell
- Homemaker
- Jacksonville, FL
National Provider Identifier
1982221099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 236711
- Practice address
- 5620 Collins Rd Apt 302
Jacksonville, FL 32244-6910 - Phone
- (904) 667-1992
- NPI assigned
- Jul 6, 2020
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | 236711 | FL | Primary |
Addresses
Primary practice location
5620 Collins Rd Apt 302
Jacksonville, FL 32244-6910
Mailing address
1703 Edgewood St SW
Decatur, AL 35601-5453
Phone (904) 667-1992
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236711 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Over and Beyond | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Decatur, AL
- NPI 1235997354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1982221099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 EDGEWOOD ST SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356015453",
"telephone_number": "904-667-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 COLLINS RD APT 302",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322446910",
"telephone_number": "904-667-1992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SANDRIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "FL",
"license": "236711",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.