Mary Ellen Pollett

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1115 Harbor Rd
Grove, OK 74344-3505

Phone

(918) 786-4434

Fax

(918) 786-4435

NPI assigned

Mar 2, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1104328301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 HARBOR RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443505",
            "telephone_number": "918-786-4434",
            "fax_number": "918-786-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 HARBOR RD",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743443505",
            "telephone_number": "918-786-4434",
            "fax_number": "918-786-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Coffeyville",
            "state": "KS",
            "postal_code": "673374925",
            "country_code": "US",
            "telephone_number": "620-688-1961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLETT",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal L Phillips, DDS
• Phoenix Healthcare LLC
• Brandi Michelle Pierce
• George R Pilkinton, LCSW, LADC
• Pmo Medical PLLC
• Lynsey Popp, PHARMD
• David Porter
• Patricia Anne Postier, ARNP
• Lutisha Marie Potter
• Precision Hearing Aid Center LLC

• Peer Specialist in Grove, OK
• Providers in Grove, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.