Race Polston, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP60651685 Issued in WA

Practice address

1302 W Gardner Ave
Spokane, WA 99201-2059

Phone

(509) 503-6010

NPI assigned

Sep 9, 2024

Sex

Male

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

State licenses

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1891521712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 E SIERRA AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992085741",
            "telephone_number": "509-844-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 W GARDNER AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012059",
            "telephone_number": "509-503-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTON",
        "first_name": "RACE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP60651685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Elizabeth Pollard
• Theresa Pollard
• Kyley Dawn Pollock, PEER SPECIALIST
• Natalija Kae Pollock
• Polly Thosath Carlson Ms, PS
• Sarah Pilar Pompa, LMFT
• Rosa Rose Pond, RN, SRNA
• Alena F Ponkratov, ARNP
• Jessica Pavlovna Ponkratov, PHARMD
• Alex Ponomarenko, ARNP

• Licensed Practical Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.