Elizabeth Ann Polston, PHD, ARNP, WHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

143823 Issued in MO

Practice address

1733 Lakeland Hills Blvd
Women'S Care Florida, Lakeland OB-GYN
Lakeland, FL 33805-3016

Phone

(863) 688-1528

Fax

(863) 688-8423

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prof. Elizabeth Ann Kostas-Polston Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1043318546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 GREYHAWK ESTATES LN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338125803",
            "telephone_number": "417-293-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 LAKELAND HILLS BLVD",
            "address_2": "WOMEN'S CARE FLORIDA, LAKELAND OB-GYN",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053016",
            "telephone_number": "863-688-1528",
            "fax_number": "863-688-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "credential": "PHD, ARNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "143823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428958102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "KOSTAS-POLSTON",
            "middle_name": "ANN",
            "prefix": "PROF.",
            "credential": "PHD, ARNP, WHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Polk Wellcare Corp
• Jessica Polk
• Antionette Pollard
• Janet L Pollock, PTA
• Dianne Polsen- Haas, MD
• Laurie Pomella, APRN
• Ana Lesinay Pompa Gomez, RBT
• Karely Sarahi Ponce
• Kelly A Poncheri, DPM
• Marsha W Pope, LMHC

• Nurse Practitioner in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.