LORI PONDER (NPI# 1235110263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235110263 |
Entity Type | Individual |
Full Name | LORI PONDER |
Credential | CRNP |
Practice Address |
15 Riverbend Dr Sw Ste 100 Rome GA 30161-6065 |
Practice Telephone | 7062910884 |
Practice Fax Number | 7063788267 |
Mailing Telephone | 7062910884 |
Mailing Fax Number | 7063788267 |
Enumeration Date | 2005-11-08 |
Last Update Date | 2011-09-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 1-089350 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN147727 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 205983747A | 05 |
Street Address |
15 RIVERBEND DR SW STE 100 |
City | ROME |
State | GA |
Zip Code | 30161-6065 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427428085 | Children's Dental Center, PC | Dentist | 15 Riverbend Dr Sw, Ste 130, Rome, GA 30161-6005 | 2015-09-25 |
1548685811 | Ashley Ann Holloway | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6005 | 2014-02-24 |
1134468101 | Emma Cordle | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6005 | 2013-02-11 |
1083893150 | Kristen Higgins Leezer | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6005 | 2007-10-25 |
1053462325 | Northwest Georgia Medical Clinic, P.C. | Specialist | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2007-01-15 |
1861424004 | Lisa Blake | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2006-07-07 |
1336127802 | Asa A. Peek | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2006-01-05 |
1447237169 | Dixon L Freeman | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2005-12-22 |
1083691703 | James H Vick IIi | Obstetrics & Gynecology | 15 Riverbend Dr Sw, Ste 200, Rome, GA 30161-6065 | 2005-12-22 |
1609853324 | Mary Catherine Burch | Nurse Practitioner | 15 Riverbend Dr Sw, Ste 100, Rome, GA 30161-6065 | 2005-12-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265069256 | Three Rivers Housing and Development Corporation | Chore Provider | 326 W. 9th St, Rome, GA 30161 | 2020-03-27 |
1144865957 | Eric Alan Fuller | Audiologist-Hearing Aid Fitter | 700 East 2nd Street, Suite C, Rome, GA 30161 | 2019-11-15 |
1003394883 | Cindy V Shelton | Health Educator | 204 E 1st Ave, Rome, GA 30161 | 2018-08-02 |
1083153597 | Julie Oglesby Allen | Counselor | 1 S Broad St Sw Ste 5, Rome, GA 30161 | 2017-02-16 |
1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
1407259112 | Angela Smith | Community/Behavioral Health | 109 John Maddox Suite 200, Rome, GA 30161 | 2014-10-08 |
1215344379 | Nancy Patel | Pharmacist | 1421 North Broad St, Rome, GA 30161 | 2014-07-21 |
1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
1134310147 | Reneka L Dobbs-jackson | Family Medicine | 420 E 2nd Ave Ste 103, Rome, GA 30161 | 2007-08-05 |
Find all providers in zip 30161 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409966 | Jamie Marcinkowski | Nurse Practitioner | 1617 N James Street, Suite 100, Rome, NY 13440 | 2020-08-28 |
1174141196 | Amy Wheeler | Nurse Practitioner | 10 Walking Horse Dr Nw, Rome, GA 30165-2586 | 2020-07-07 |
1871115345 | Brooke Combs | Nurse Practitioner | 200 Marable Way Nw, Rome, GA 30165-1387 | 2020-05-07 |
1942768296 | Tina Annette Witt | Nurse Practitioner | 330 Turner Mccall Blvd Sw Ste 206, Rome, GA 30165-5632 | 2019-03-06 |
1821336629 | Wendy Pence | Nurse Practitioner | 3001 Turner Mccall Blvd, Rome, GA 30161 | 2013-01-29 |
1124268784 | Linda Josephine Wynn | Nurse Practitioner | 101 Watson St Nw, Rome, GA 30165-2172 | 2009-02-23 |
1831379940 | Barbara Lillian Gibson | Nurse Practitioner | 80 Redmond Rd Nw, Rome, GA 30165-1534 | 2007-11-06 |
1427123645 | Michael Anthony Carter | Nurse Practitioner | 327 E 11th St Se, Rome, GA 30161-6206 | 2006-11-22 |
1902845159 | Jennifer Lynn Maher | Nurse Practitioner | 7901 Ridge Mills Rd, Rome, NY 13440-2203 | 2006-06-05 |
1073511283 | Lynne S Rollins | Nurse Practitioner | 3 Broad St, Rome, GA 30161-3017 | 2005-07-12 |
Find all providers in ROME |
Please comment or provide details below to improve the information on LORI PONDER.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.