Individual provider Active NPI

Lexie Frances Polk, CNP

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1013547850
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
7081 Issued in MN
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

Updated by the provider on Jun 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
7081MNMDWomen'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.

Verify at the official NPI Registry.