Active NPI
Lexie Frances Polk, CNP
- Women's Health Nurse Practitioner
- Saint Paul, MN
National Provider Identifier
1013547850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 7081
- Practice address
- 991 Sibley Memorial Hwy Ste 100
Saint Paul, MN 55118-5114 - Phone
- (651) 379-3110
- Fax
- (651) 379-3111
- NPI assigned
- Jan 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 7081 | MN | Primary |
Addresses
Primary practice location
991 Sibley Memorial Hwy Ste 100
Saint Paul, MN 55118-5114
Mailing address
3520 N Shore Dr
Wayzata, MN 55391-9360
Phone (218) 851-8923
Other practice location 1
2828 Chicago Ave Ste 400
Minneapolis, MN 55407-1593
Phone (612) 863-5390 ext. 38632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7081 | MN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1013547850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3520 N SHORE DR",
"city": "WAYZATA",
"state": "MN",
"postal_code": "553919360",
"telephone_number": "218-851-8923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 SIBLEY MEMORIAL HWY STE 100",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551185114",
"telephone_number": "651-379-3110",
"fax_number": "651-379-3111"
}
],
"practiceLocations": [
{
"address_1": "2828 Chicago Ave Ste 400",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554071593",
"country_code": "US",
"telephone_number": "612-863-5390 x38632",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLK",
"first_name": "LEXIE",
"middle_name": "FRANCES",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-21",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": "MN",
"license": "7081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.