{
"Npi": {
"NPI": "1053839209",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "PONTER",
"FirstName": "NANCY",
"MiddleName": "E",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MSN, FNP-C",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "235 SW FERNLEAF TRL",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PORT SAINT LUCIE",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34953-8217",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "908-581-4728",
"MailingAddressFaxNumber": "973-436-5660",
"FirstLinePracticeLocationAddress": "200 SE HOSPITAL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "STUART",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "34994-2346",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "877-463-2010",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/07/2017",
"LastUpdateDate": "08/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "26NJ00718200",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363LF0000X",
"TaxonomyName": "Family Nurse Practitioner",
"LicenseNumber": "11036008",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}