Polly Anderson Divens

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1901 N Hemmer Rd Ste 109
Palmer, AK 99645-9690

Phone

(907) 317-5895

NPI assigned

Nov 5, 2018

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": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1326516634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14960 E DEPRIEST AVE",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459027",
            "telephone_number": "907-460-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N HEMMER RD STE 109",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996459690",
            "telephone_number": "907-317-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVENS",
        "first_name": "POLLY",
        "middle_name": "ANDERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Jean Diamond
• Christopher David Dietrich, PA-C
• Myra Dimitrov Dimitrov, M.D.
• Tatyana Disla
• Bailey Ditmer, LMT
• Division of Alaskan Pioneer Homes
• Elizabeth Ann Dixon
• Amy Marie Dorsey
• Kaylee Doss
• Ann Dougherty, CMT

• All providers in Palmer, AK
• Speech-Language Pathologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.