Jeannette Ponder

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

11818 Issued in WI

Legal business name

JEANNETTE PONDER

Practice address

3152 N 24TH PL
Milwaukee, WI 53206-1209

Phone

(414) 447-1489

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jeannette Ponder

Title

LPN RCS

Phone

(414) 447-1489

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356303101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 N 24TH PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061209",
            "telephone_number": "414-447-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 N 24TH PL",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061209",
            "telephone_number": "414-447-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNETTE PONDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PONDER",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "LPN RCS",
        "authorized_official_telephone_number": "414-447-1489",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WI",
            "license": "11818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39973100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• JCL Transportation LLC
• JD Davis Transportation Company LLC
• JD Luxury
• Viannie Jeaboin, LPN
• Sarah J Jean-Pierre, NP
• Noah Jeannette, DO
• Cheryl A Jeanpierre, D.O.
• Jeans New Creation Personal Care Agency
• Wajiha Jeelani, MBBS
• Jeff Yuan, MD SC

• Pediatric Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Pediatric Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.