Rachel Joy Polines

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

NP95020475 Issued in CA

Practice address

5100 N 6TH St Ste 157
Fresno, CA 93710-7506

Phone

(559) 293-3155

Fax

(559) 293-3143

NPI assigned

Apr 11, 2022

Last updated

Aug 14, 2024By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Professional Healthcare Group Inc

  dba Pro Home Health

  • Home Health Agency
  • Fresno, CA
  • NPI 1578933149

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sierra Medicine, Inc.

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1497420848
  Medicare reassignment NPD

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1265174122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 157",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107506",
            "telephone_number": "559-293-3155",
            "fax_number": "559-293-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST STE 157",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107506",
            "telephone_number": "559-293-3155",
            "fax_number": "559-293-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINES",
        "first_name": "RACHEL JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP95020475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Poladian, PHARMD
• Samuel Polanco
• Julia Poland
• Jomer Kirby Tinana Polanes, M.D.
• Seema M Policepatil, MD
• Anupama Poliyedath, MD
• Hillary Polk
• Lori Pollard, LMFT
• Apai Polyudhapoom
• Krystal Pombo, CNS

• Primary Care Nurse Practitioner in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.