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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALICIA NICHOLE PONDER PA-C
NPI 1396371035
Physician Assistant - Medical in Fort Campbell, KY

Active since March 13, 2020
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223(082) 273-5348 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 16, 2020, Mar 13, 2020 (2 updates tracked since 2020).

About Alicia Nichole Ponder Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALICIA NICHOLE PONDER PA-C (NPI 1396371035) is an individual medical provider in Fort Campbell, Kentucky and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1396371035
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALICIA NICHOLE PONDERCredential: PA-C
Location Address5979 DESERT STORM AVEFort Campbell, KY 42223-5514
Mailing Address129 Garland WayRussellville, KY 42276-1128
Phone(082) 273-5348
Sole ProprietorNo
Enumeration DateMarch 13, 2020
Last NPPES UpdateJune 24, 20262 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1396371035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedPhysician AssistantTaxonomy 363A00000X
5979 DESERT STORM AVE, Fort Campbell, KY 42223
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DUKE PHU NGUYEN DMD
Dentist (General Practice)
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-8547
MS. RUTH MOZELL ANDERSON REGISTERED NURSE
Registered Nurse (Case Management)
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-3856
JESSICA JOHNS PHYSICIAN ASSISTANT
Physician Assistant
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
EMMA MARIE JESSUP PA-C
Physician Assistant
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 798-4677
MRS. VLATKA SPLAJT PLYMALE D.O.
General Practice
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-8698
DR. KRISTEN E QUARTARARO DMD
Dentist
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-2787
LINDA ALLEN LPN
Licensed Practical Nurse
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 956-0303
DR. JERROD LYNN SANDERS DDS
Dentist (Prosthodontics)
5979 DESERT STORM AVE
FORT CAMPBELL, KY 42223
Christian County (270) 412-8563

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alicia Ponder's NPI number?

The NPI number for Alicia Ponder is 1396371035. It was assigned to this individual provider in the NPPES registry on March 13, 2020.

Where is Alicia Ponder located?

Alicia Ponder practices at 5979 Desert Storm Ave, Fort Campbell, KY 42223. The listed phone number is (082) 273-5348.

What is Alicia Ponder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Alicia Ponder was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.