Jermain C Poncardas, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

2019033355 Issued in MO

Practice address

821 E Battlefield St Apt D26
Springfield, MO 65807-5879

Phone

(417) 450-9372

NPI assigned

Feb 17, 2021

Last updated

Feb 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1447843784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 E BATTLEFIELD ST APT D26",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075879",
            "telephone_number": "417-450-9372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 E BATTLEFIELD ST APT D26",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075879",
            "telephone_number": "417-450-9372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCARDAS",
        "first_name": "JERMAIN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "MO",
            "license": "2019033355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian R Pointer, MS, LPC
• Suhasini Pokala, MD
• Narayan Pokhrel, MD
• Susan Pon, LPT
• Fernando Ponay, PT
• Haley Jo Ponder, PA-C
• Jami Rae Pool
• Brandon M Poole
• Marcel Popa, DC
• Ashley Nicole Popejoy, DDS

• Medical-Surgical Registered Nurse in Springfield, MO
• Providers in Springfield, MO by specialty
• Medical-Surgical Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.