Kimberlee Shawtay Polite, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

733756 Issued in CA

Practice address

740 Owens River Dr
Oxnard, CA 93036-5359

Phone

(805) 302-3099

NPI assigned

Feb 27, 2025

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": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1144027178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 OWENS RIVER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365359",
            "telephone_number": "805-302-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 OWENS RIVER DR",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930365359",
            "telephone_number": "805-302-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITE",
        "first_name": "KIMBERLEE",
        "middle_name": "SHAWTAY",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "733756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselynn Rachel Plevack, AUD
• Beverly Pluche, NURSE PRACTITIONER
• PMK Medical Group, Inc.
• Barbara Poitras
• Akanksha Polamarasetty
• Michael Steven Pollack, DDS
• Benjamin Jonathan Ponce
• Juliet Ponce
• Victoria Ines Ponce
• Maximillion Poon

• Licensed Vocational Nurse in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.