DEANDRE M POWELL
NPI 1124690094
Student in an Organized Health Care Education/Training Program in Benicia, CA

Active since July 12, 2021
91 RIVERVIEW TER APT 137, BENICIA, CA 94510(707) 208-0740 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Deandre M Powell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEANDRE M POWELL (NPI 1124690094) is an individual student in an organized health care education/training program in Benicia, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1124690094
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEANDRE M POWELL
Location Address91 RIVERVIEW TER APT 137Benicia, CA 94510-2764
Mailing Address91 Riverview Ter Apt 137Benicia, CA 94510-2764 · (707) 208-0740
Sole ProprietorNo
Enumeration DateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
NPI 1124690094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

91 RIVERVIEW TER APT 137, Benicia, CA 94510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deandre Powell's NPI number?

The NPI number for Deandre Powell is 1124690094. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Deandre Powell located?

Deandre Powell practices at 91 Riverview Ter Apt 137, Benicia, CA 94510. The listed phone number is (707) 208-0740.

What is Deandre Powell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Deandre Powell was last updated on July 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.