Patty Lanan Polley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN680621 Issued in FL

Practice address

7004 Norne LN
Mount Dora, FL 32757-7076

Phone

(407) 361-7565

Fax

(352) 383-6689

NPI assigned

Aug 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Patty Lanan Polley Professional name

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.

• P-3 Medical Inc

  • Family Medicine Physician
  • Mount Dora, FL
  • NPI 1235457219
  NPD (past) Authorized official

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1184856262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 NORNE LN",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327577076",
            "telephone_number": "407-361-7565",
            "fax_number": "352-383-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 NORNE LN",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327577076",
            "telephone_number": "407-361-7565",
            "fax_number": "352-383-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "PATTY",
        "middle_name": "LANAN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN680621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATTY",
            "last_name": "POLLEY",
            "middle_name": "LANAN",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Physicians of Central Florida, LLC (Physicians of Central Florida, PA)
• Steven Eugene Pillow, MD
• Adriana Nesta Pinkerton, PTA
• William Plum, MD
• Guadalupe Lizeth Polanco, LMT
• Deja Pollidore
• Vanessa Pollock
• Suzanne Porcelli
• Christine Hegamyer Powell, LMHC
• Precision Eye Care Center LLC

• Licensed Practical Nurse in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; 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.