Individual provider Active NPI

Lindsey H Polley, PNP, MSN, RN

  • Nurse Practitioner
  • New Albany, IN
National Provider Identifier
1912112210
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71002593A Issued in IN
Practice address
2305 Green Valley Rd
Suite 100
New Albany, IN 47150-4649
Phone
(812) 949-0405
Fax
(812) 949-0445
NPI assigned
May 11, 2007
Last updated
Aug 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71002593A IN Primary

Addresses

Primary practice location

2305 Green Valley Rd
Suite 100
New Albany, IN 47150-4649

Mailing address

2305 Green Valley Rd
Suite 100
New Albany, IN 47150-4649
Phone (812) 949-0405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
71002593AINMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1912112210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 GREEN VALLEY RD",
            "address_2": "SUITE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504649",
            "telephone_number": "812-949-0405",
            "fax_number": "812-949-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 GREEN VALLEY RD",
            "address_2": "SUITE 100",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471504649",
            "telephone_number": "812-949-0405",
            "fax_number": "812-949-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLEY",
        "first_name": "LINDSEY",
        "middle_name": "H",
        "credential": "PNP, MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-11",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71002593A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.