Individual provider Active NPI

Vikram Poonia, APRN

  • Nurse Practitioner
  • Davenport, FL
National Provider Identifier
1932723632
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11007297 Issued in FL
Practice address
220 Steamboat Blvd
Davenport, FL 33897-5671
Phone
(863) 242-0353
NPI assigned
May 29, 2020
Last updated
May 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11007297 FL Primary

Addresses

Primary practice location

220 Steamboat Blvd
Davenport, FL 33897-5671

Mailing address

220 Steamboat Blvd
Davenport, FL 33897-5671

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VPOONIA@TEAMCENTURION.COM Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11007297FLMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: vpoonia@teamcenturion.com

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1932723632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STEAMBOAT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338975671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 STEAMBOAT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338975671",
            "telephone_number": "863-242-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POONIA",
        "first_name": "VIKRAM",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VPOONIA@TEAMCENTURION.COM",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "DO NOT SEND PHI",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DO NOT SEND PHI",
            "address_1": "220 Steamboat Blvd",
            "city": "Davenport",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338975671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.