MS. TINA M POUNTNEY FNP-BC NPI 1053323436

NPI Information

  • NPI: 1053323436
  • Provider Name: MS. TINA M POUNTNEY, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 904 MARQUETTE AVE
    SAULT SAINTE MARIE, MI
    ZIP 49783
  • Phone: (906) 632-5690

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NPI Details

MS. Tina M Pountney, FNP-BC is a family nurse practitioner in Sault Sainte Marie, MI with 23 years of experience. MS. Tina M Pountney, FNP-BC NPI is 1053323436. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

904 MARQUETTE AVE
SAULT SAINTE MARIE, MI
ZIP 49783
Phone: (906) 632-5690

The NPI 1053323436 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 8/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily4704204074MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11689796930MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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