Reece Ponicki, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN165385 Issued in AZ

Practice address

1873 W Encinas St
Gilbert, AZ 85233-2314

Phone

(480) 204-7739

NPI assigned

Jan 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1336613611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 W ENCINAS ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332314",
            "telephone_number": "480-204-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 W ENCINAS ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852332314",
            "telephone_number": "480-204-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3301 Los Arboles Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871071943",
            "country_code": "US",
            "telephone_number": "480-204-7739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PONICKI",
        "first_name": "REECE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN165385",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AZ",
            "license": "RN165385",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "RN165385",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN165385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack A Pohler
• Christy Polidoro
• Tiffany Louise Polley, RN
• Ponderosa Heart House Call
• Pongratz Orthotics & Prosthetics, Inc.
• Susan E. Ponkey, M.D.
• Donald Eugene Pont, M.D.
• Eden E Pope
• Nikko Patrick Popp, PHARMD
• Suzanne Poppen, PT

• Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.