Tammy Polite
Individual provider Active NPI Licensed Practical Nurse · Fort Mitchell, AL
NPI 1477939692 · NPPES record last updated Aug 11, 2015
Key facts
- NPI
- 1477939692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- LPN077067 (GA)
- Practice address
- 105 Seminole TRL
Fort Mitchell, AL 36856-6801 - Phone
- (229) 291-6617
- NPI assigned
- Aug 11, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPN077067 | GA | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LPN077067 | GA | Yes |
Addresses
Primary practice location
105 Seminole TRL
Fort Mitchell, AL 36856-6801
Mailing address
105 Seminole TRL
Fort Mitchell, AL 36856-6801
Phone (229) 291-6617
NPI Registry JSON
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1477939692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 SEMINOLE TRL",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368566801",
"telephone_number": "229-291-6617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SEMINOLE TRL",
"city": "FORT MITCHELL",
"state": "AL",
"postal_code": "368566801",
"telephone_number": "229-291-6617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITE",
"first_name": "TAMMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "GA",
"license": "LPN077067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mitchell, AL
- Katinka Chiesa Leonard
- William E Maben
- Dedra Angelic McElroy
- Diane Allegra Parks
- Michele Lin Pearce
- Reuben Moyana DMD, PC
- Tyrekia Richard
- Lawanda Thompson
- Truepath Living, LLC
- TSG Counseling LLC
All providers in Fort Mitchell, AL · Licensed Practical Nurse in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.