SANDRA K PONTIUS (NPI# 1174530521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174530521 |
| Entity Type | Individual |
| Full Name | SANDRA K PONTIUS |
| Credential | RN,ANP-C |
| Practice Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1894 |
| Mailing Address |
284 Executive Park Dr Ste 100 Concord NC 28025-1833 |
| Practice Telephone | 7049391100 |
| Practice Fax Number | 7049391173 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
104655 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6113011 | 05 |
| Street Address |
284 EXECUTIVE PARK DR STE 100 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-1894 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568439446 | Betsy G Karas | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2006-03-01 |
| 1497360234 | Aaron Kyle Yearwood | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2020-09-09 |
| 1669098984 | Samantha Bramwell Samson | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2020-06-23 |
| 1558904672 | Shinia W Carter | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-10-21 |
| 1174174866 | Diane Garris | Clinical Nurse Specialist | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-09-24 |
| 1750942322 | Alexander Stofanik | Social Worker | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-06-25 |
| 1124687058 | Kenyetta Lovelee Cooper | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-06-13 |
| 1346708658 | Lawrence Clark | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-03-05 |
| 1134685845 | Marketta Irene Ray | Counselor | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-02-18 |
| 1902370216 | Charles Hardy Iv | Licensed Practical Nurse | 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 | 2019-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477005205 | Richard Lapage | Nurse Practitioner | 194a Pleasant St, Concord, NH 03301-2903 | 2016-10-27 |
| 1275991168 | Li Chin Sun | Nurse Practitioner | 131 Ornac Ste 610, Concord, MA 01742-4162 | 2016-02-05 |
| 1457429136 | Mary Frances Nagel | Nurse Practitioner | 254 Pleasant Street, Concord, NH 03301 | 2006-12-01 |
| 1205825296 | Julianne Murthi | Nurse Practitioner | 239 Pleasant St, Concord, NH 03301-7504 | 2005-10-21 |
| 1093286015 | Shadara King | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2018-12-17 |
| 1700394590 | Ashley Pickering Brown | Nurse Practitioner | 133 Old Road To Nine Acre Corner, Emerson Hospital Nursing Education, Concord, MA 01742 | 2018-01-16 |
| 1770094179 | Tamara Litquinnie Mangum | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2017-10-12 |
| 1417491960 | Victoria Linda Gay | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2016-12-16 |
| 1306388020 | Meghan Tanglis | Nurse Practitioner | 330 Baker Ave, Concord, MA 01742-2129 | 2016-11-11 |
| 1831547603 | David Black | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2016-06-02 |
| Find all providers in CONCORD | ||||
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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.