Martin Sheldon Ponnech, CRNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN00102728 Issued in WA

Practice address

3319 Racine St
Suite 202
Bellingham, WA 98226-6607

Phone

(360) 922-0202

Fax

(360) 543-7919

NPI assigned

Jan 4, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1841347465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 RACINE ST",
            "address_2": "SUITE 202",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266607",
            "telephone_number": "360-922-0202",
            "fax_number": "360-543-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 RACINE ST",
            "address_2": "SUITE 202",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266607",
            "telephone_number": "360-922-0202",
            "fax_number": "360-543-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONNECH",
        "first_name": "MARTIN",
        "middle_name": "SHELDON",
        "name_prefix": "Mr.",
        "credential": "CRNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "WA",
            "license": "RN00102728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9633934",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER NUMBER",
            "identifier": "47092",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PROVIDER NUM",
            "identifier": "24807200",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Poisal, P.T.A.
• Lynette Polinder, CNM
• Alexei L Polishchuk, M.D.
• Leya Poltavskaya, PTA
• Melissa Pomeroy-Peterson, LMP
• Rebecca Danielle Pope, MAED
• Joseph John Popelka
• Jeremy Dean Porter, LMT
• Kelsey Porter
• Lauren Porter

• Registered Nurse First Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Registered Nurse First Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.