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1679451322 NPI number — MEGAN CASSIDY POWELL BSN, RN, CNRN

NPI Number: 1679451322
Health Care Provider/Practitioner: MEGAN CASSIDY POWELL BSN, RN, CNRN

Information about “1679451322” NPI (MEGAN CASSIDY POWELL BSN, RN, CNRN) exists in 1679451322 in HTML format HTML  |  1679451322 in plain Text format TXT  |  1679451322 in PDF (Portable Document Format) PDF  |  1679451322 in an XML format XML  formats.

NPI Number : 1679451322 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679451322",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "POWELL",
    "FirstName": "MEGAN",
    "MiddleName": "CASSIDY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BSN, RN, CNRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1 OAK GROVE AVE UNIT 215",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MELROSE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02176-6118",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "770-634-2444",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "55 FRUIT ST WANG 835",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOSTON",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02114",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-726-7565",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/21/2025",
    "LastUpdateDate": "08/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WN0800X",
          "TaxonomyName": "Neuroscience Registered Nurse",
          "LicenseNumber": "00398817",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN2382739",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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