Pamela Bond Ponichtera, A.P.R.N.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

001273 Issued in CT

Practice address

500 Albany Avenue
Pediatric Clinic
Hartford, CT 06120

Phone

(860) 249-9625

Fax

(860) 808-1542

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1740361179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 COBBS RD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071401",
            "telephone_number": "860-521-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALBANY AVENUE",
            "address_2": "PEDIATRIC CLINIC",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06120",
            "telephone_number": "860-249-9625",
            "fax_number": "860-808-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONICHTERA",
        "first_name": "PAMELA",
        "middle_name": "BOND",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "001273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004151916",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Rae Policarpio, PA
• Donna M Polk, M.D.
• Brianna E Pollock, PHD
• Elaine Pompa, DC
• Yasmin Nancy Ponce de Leon, MFT
• Nicole Poole, M.D.
• William S Poole, MD
• CHI Kong Poon
• James Samuel Pope, MD
• Nathan Foxhall Pope, MD

• Pediatric Nurse Practitioner in Hartford, CT
• Providers in Hartford, CT by specialty
• Pediatric Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.