Individual provider Active NPI

Christina L Ponce, RN,MT

  • Registered Nurse
  • Portland, OR
National Provider Identifier
1225399868
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
10033689RN Issued in OR
Practice address
7759 SE 72ND Ave
Portland, OR 97206-7921
Phone
(503) 788-4500
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X CAMCT 8567 CA
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 10033689RN OR Primary

Addresses

Primary practice location

7759 SE 72ND Ave
Portland, OR 97206-7921

Mailing address

7759 SE 72ND Ave
Portland, OR 97206-7921
Phone (503) 788-4500

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
Credentials
Medical Technician, Registered Nurse

State licenses

LicenseStateTypeSpecialty
10033689RNORMDRegistered Nurse
CAMCT 8567CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Mental Health Services of Oregon, Inc PastSince Apr 20, 2025 Accepting new patients
Telecare Mental Health Services of Oregon, Inc PastSince Apr 20, 2025 Accepting new patients
Caduceus Physicians Medical Group Single Specialty PastSince Jan 15, 2016 Accepting new patients

Organizations & group practices 3

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1225399868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7759 SE 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067921",
            "telephone_number": "503-788-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7759 SE 72ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972067921",
            "telephone_number": "503-788-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "CHRISTINA",
        "middle_name": "L",
        "credential": "RN,MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "CAMCT 8567",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "10033689RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.