Sarah Ponder

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

974723 Issued in TX

Practice address

625 Woodway Lane
Nacogdoches, TX 75965

Phone

(936) 462-3117

NPI assigned

Sep 1, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1295217610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13522 W CYPRESS FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WOODWAY LANE",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "75965",
            "telephone_number": "936-462-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-01",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "342356",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "974723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA HEALTHCARE",
            "identifier": "0004258399",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pittany Group LLC
• Vijaya R Pokala, M.D., F.A.C.C.
• Aaron C Polk Jr., MD
• Aaron Christopher Polk, D.D.S.
• Jonathan Daniel Polk, M.D.
• Melissa Lynn Pool, SLP
• Rebecca Porterfield, MA, LPC-A
• Robert Peyton Porterfield, MA, LPC
• Kalen Macalpine Poston, DPT
• Gary E Poulson, RPH

• Registered Nurse in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.