Individual provider Active NPI

Joanne Pond, FNP-C

  • Family Nurse Practitioner
  • Ammon, ID
National Provider Identifier
1134933450
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9771645 Issued in ID
Practice address
1547 Midway Ave
Ammon, ID 83406-6912
Phone
(209) 872-0707
NPI assigned
Feb 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9771645 ID Primary

Addresses

Primary practice location

1547 Midway Ave
Ammon, ID 83406-6912

Mailing address

3876 Tawzer Way
Ammon, ID 83406-4944
Phone (209) 872-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410002411 ID Practitioner - Nurse Practitioner 1355865379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Root Cause Integrative Medicine LLCGroup PAC ID 2062753098, 5 clinicians

Practice addresses (Care Compare)

1547 Midway Ave
Suite B
Ammon, ID 83406-6912
Phone (208) 497-0429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Sports & Spine CurrentSince Apr 1, 2025 Accepting new patients

Locations

1547 Midway Ave
#B
Ammon, ID 83406
Phone (208) 360-6770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEJHBD/Endpoint/JEJHBD

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1134933450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 TAWZER WAY",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064944",
            "telephone_number": "209-872-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 MIDWAY AVE",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066912",
            "telephone_number": "209-872-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POND",
        "first_name": "JOANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "9771645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

Verify at the official NPI Registry.