Stephanie Polizois, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R247439 Issued in MD

Practice address

7001 Johnnycake Rd Ste 101
Baltimore, MD 21244-2419

Phone

(410) 719-0063

NPI assigned

Mar 18, 2021

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

Credentials

Certified Pediatric Nurse Practitioner

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1104402478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 TAYMAN DR",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214033762",
            "telephone_number": "201-874-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 JOHNNYCAKE RD STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442419",
            "telephone_number": "410-719-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIZOIS",
        "first_name": "STEPHANIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R247439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Leanne Poling, MS, RD, LDN
• Karen Polite-Lamma
• Elgustus Polite, PH.D.
• Olga Dana Polites, M.S., CCC-SLP
• Albert John Polito, M.D.
• Ann Polk, CRNP
• Danielle Polk, PTA
• Sarah Polk, MD
• Timothy Daniel Polk, M.D.
• Tara Polla, DNP

• Pediatric Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Pediatric Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.