Lauren Polm, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AP3903 Issued in FL

Practice address

3602 Madaca LN
Tampa, FL 33618-2057

Phone

(813) 460-5222

NPI assigned

Jan 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Root & Branch LLC

  dba Root & Branch Medicine

  • Acupuncturist
  • Tampa, FL
  • NPI 1134622392
  NPD (past) Authorized official

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

{
    "created_epoch": "1515283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1134636525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12651 N DALE MABRY HWY UNIT 270657",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336889028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182057",
            "telephone_number": "813-460-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 W 131st Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123452",
            "country_code": "US",
            "telephone_number": "813-992-5421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLM",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "DOM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-07",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006145-1",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliyah Beth Pollak, DO
• Cory Pollard, M.D.
• Lanayah Pollard
• Natasha Pollard
• Shanika Pollock, LCSW
• Arleti Polo Pinero
• Iris De la Caridad Polo
• Anna Petrovna Polovneva, APRN
• Ethan G Polsky, M.D.
• Jane Polvinale, M.S. CCC-SLP

• Acupuncturist in Tampa, FL
• Providers in Tampa, FL by specialty
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.