Lakesha Polk, HAIR LOSS SPECIALIST

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

96982 Issued in TN

Practice address

3584 Forrest Ave
Memphis, TN 38122-5123

Phone

(901) 323-2709

NPI assigned

Jul 7, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Capitol Beauty and Barbering LLC

  • Clinic/Center
  • Memphis, TN
  • NPI 1396491429
  NPD Authorized official

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1336767375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381278351",
            "telephone_number": "901-239-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 FORREST AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381225123",
            "telephone_number": "901-323-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "LAKESHA",
        "name_prefix": "Mrs.",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TN",
            "license": "96982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Polivka, DPT
• Temesha Evette Polk-Howard, MSW,LCSW
• Angela Mi Polk
• Erica Polk, D.D.S.
• Kimberly Dawn Polk, APN
• Lakesha Deshun Polk, FNP-C
• Russell Buchanan Polk
• Jessica Chelsea Pollack
• Joseph V Pollack, MD
• Rebecca Pollack, M.D.

• Prosthetics Case Management in Memphis, TN
• Providers in Memphis, TN by specialty
• Prosthetics Case Management in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.