JACKIE M PONDER (NPI# 1508369539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508369539 |
| Entity Type | Individual |
| Full Name | JACKIE M PONDER |
| Practice Address |
33 Primton Way Fernley NV 89408-8593 |
| Practice Telephone | 7755755786 |
| Mailing Telephone | 7755755786 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
33 PRIMTON WAY |
| City | FERNLEY |
| State | NV |
| Zip Code | 89408-8593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359634 | Kim Patrick Baumgardner | Pharmacist | 1280 Hwy. 95a North, Fernley, NV 89408 | 2020-09-03 |
| 1891303723 | Amber Timberlake | Marriage & Family Therapist | 415 Highway 95a Suite G701, Fernley, NE 89408 | 2020-07-16 |
| 1609492958 | Ana Alicia Cervantes Tippit | Social Worker | 415 Hwy 95a South Suite D, Fernley, NV 89408 | 2020-06-23 |
| 1437797172 | Whitney Howerton | Peer Specialist | 415 Highway 95a, Suite H802, Fernley, NV 89408 | 2019-12-12 |
| 1689146813 | Golden Years Castle Property Holdings LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 575 Farm District Rd, Fernley, NV 89408 | 2018-12-28 |
| 1508355405 | Raleys | Pharmacy | 1400 State Route 95a N, Fernley, NV 89408 | 2018-05-07 |
| 1528598679 | The Dentists' Office Fernley LLC | Dentist | 300 Highway 95-a South, Ste. 110, Fernley, NV 89408 | 2017-06-12 |
| 1992246474 | Brieauna Nesmith | Counselor | 415 Hwy 95 A, Suite 702 G, Fernley, NV 89408 | 2017-03-16 |
| 1760939359 | Eloisa Martinez | Counselor | 415 Hwy 95 Suite 702g, Fernley, NV 89408 | 2016-09-01 |
| 1033665377 | Lorraine Forbes | Counselor | 415 Highway 95a Building I, Fernley, NV 89408 | 2016-08-28 |
| Find all providers in zip 89408 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475187 | Ronda Baichtal | Technician | 336 Nader Way, Fernley, NV 89408-9530 | 2020-07-29 |
| 1356959977 | Kay Fisher | Technician | 98 Middleton Way, Fernley, NV 89408-8594 | 2020-07-20 |
| 1932726676 | Julie Willis | Technician | 555 Ranchwood Ln, Fernley, NV 89408-4505 | 2020-06-29 |
| 1720619851 | Cynthia Gonzalez | Technician | 1464 Mountain Rose Dr, Fernley, NV 89408-4517 | 2020-01-28 |
| 1669099305 | Lori D Raff | Technician | 555 Ranchwood Ln, Fernley, NV 89408-4505 | 2020-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1861093072 | Nakia T Newson | Technician | 3033 Little Crimson Ave, North Las Vegas, NV 89081-6584 | 2020-11-04 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| 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.