Melody Ann Polanec, BSN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

1092798 Issued in KY

Practice address

650 Joel Dr
Fort Campbell, KY 42223-5318

Phone

(270) 798-8513

Fax

(270) 798-5895

NPI assigned

Mar 18, 2009

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

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1346481405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8513",
            "fax_number": "270-798-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "270-798-8513",
            "fax_number": "270-798-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANEC",
        "first_name": "MELODY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "KY",
            "license": "1092798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Place II
• Larry Charles Plummer, PAC
• Thomas Patrick Poepping, MD
• Ute Poepsel
• Sara Teresa Polanco, OTR/L, DSC
• Rachel Pollard, DVM
• David Michael Polston, PA-C
• Phelps Frederic Pond Jr., RN, CNS
• Alicia Nichole Ponder, PA-C
• Matthew Nicholas Ponder, MD

• Ambulatory Care Registered Nurse in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Ambulatory Care Registered Nurse in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.