Andrea Nicole Polson, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

0084059 Issued in OK

Practice address

US Highway 56 & 270 Junction
Barking Water Road
Wewoka, OK 74884-1475

Phone

(405) 257-6282

Fax

(405) 257-3344

NPI assigned

Nov 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1225338627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1475",
            "address_2": "BARKING WATER ROAD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841475",
            "telephone_number": "405-257-6282",
            "fax_number": "405-257-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US HIGHWAY 56 & 270 JUNCTION",
            "address_2": "BARKING WATER ROAD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841475",
            "telephone_number": "405-257-6282",
            "fax_number": "405-257-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OK",
            "license": "0084059",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OK",
            "license": "0084059",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "OK",
            "license": "0084059",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolen V Williams
• Norman Drug
• Kymberli Ogle
• Peak Medical Oklahoma No. 11, Inc.
• Wendy J Pingleton, APRN
• Troy Ray
• Shannon Roden, M.ED., SLP
• Saints Medical Group, LLC
• Jennifer Sharma, RN
• John R Smith, DDS

• Community Health Registered Nurse in Wewoka, OK
• Providers in Wewoka, OK by specialty
• Community Health Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.