Charlea Monee Polk

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

5040 Corporate Plaza Dr Ste 7G
Colorado Springs, CO 80919-6100

Phone

(719) 249-7896

NPI assigned

Aug 17, 2024

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

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.

• Mind Reneural LLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1639728595
  NPD
• Mind Reneural, LLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1235050006
  NPD (past)

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

{
    "created_epoch": "1723852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1629800602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LONGFELLOW DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809102512",
            "telephone_number": "719-358-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 7G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-249-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "CHARLEA",
        "middle_name": "MONEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Melinda Poland, RXN, NP
• Polaris Wellness Group, PLLC
• Candace Nicole Polite, NP-C
• De'Yonna Polk-Ryder, RBT
• Chaelie Polk
• Elizabeth Jordan Polk
• Amber Pollard
• Christine Pollard, PT
• Lillian Grace Pollard
• Stephanie Pollard, CD(DONA)

• Student in an Organized Health Care Education/Training Program in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Student in an Organized Health Care Education/Training Program in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2024; 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.