Individual provider Active NPI

Ponda Elizabeth Sallee, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1497740294
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
508783 Issued in TX
Practice address
1002 Gemini St Ste 128
Houston, TX 77058-2746
Phone
(281) 218-9515
Fax
(281) 218-9534
NPI assigned
Sep 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 508783 TX Primary
Certified Registered Nurse Anesthetist 367500000X 2008029161 MO

Addresses

Primary practice location

1002 Gemini St Ste 128
Houston, TX 77058-2746

Mailing address

1002 Gemini St Ste 128
Houston, TX 77058-2746
Phone (281) 218-9515

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
39983KYMDPediatrics Physician
2008029161MOMDCertified Registered Nurse Anesthetist
508783TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Anesthesia & Pain Medicine Consultants, P.a. Past Accepting new patients
Rio Grande Anesthesia & Pain Medicine Consultants, P .a. PastSince May 7, 2024 Accepting new patients
The South County Anesthesia Association, PA Past Accepting new patients
Anesthesiology Associates PSC Nurse Anesthetist, Certified Registered Past Accepting new patients
North Texas Anesthesiology,PLLC PastSince Jul 10, 2006 Accepting new patients

Organizations & group practices 5

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": "1127001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1497740294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-218-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 GEMINI ST STE 128",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582746",
            "telephone_number": "281-218-9515",
            "fax_number": "281-218-9534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALLEE",
        "first_name": "PONDA",
        "middle_name": "ELIZABETH",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-18",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "508783",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2008029161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.