Individual provider Active NPI

Emily Poloji

  • Family Nurse Practitioner
  • New Town, ND
National Provider Identifier
1922491349
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7036 Issued in CT
Practice address
1058 College Dr
New Town, ND 58763-9112
Phone
(701) 627-4750
NPI assigned
Mar 10, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000019463 TN
Family Nurse Practitioner 363LF0000X 7036 CT Primary
Family Nurse Practitioner 363LF0000X ARNP9415721 FL

Addresses

Primary practice location

1058 College Dr
New Town, ND 58763-9112

Mailing address

1058 College Dr
New Town, ND 58763-9112
Phone (701) 627-4750

Other practice location 1

1916 Patterson St
Suite 201
Nashville, TN 37203-2120
Phone (615) 329-0306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, TX, CT, NY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170830001798 ND Practitioner - Nurse Practitioner 8729351564 Reassigns benefits to 1 organization
I20180103000645 TX Practitioner - Nurse Practitioner 8729351564 Reassigns benefits to 3 organizations
I20180511001193 CT Practitioner - Nurse Practitioner 8729351564 Reassigns benefits to 1 organization
I20240917002937 NY Practitioner - Nurse Practitioner 8729351564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
345332NYMDLicensed Practical Nurse
ARNP9415721FLMDFamily Nurse Practitioner
APN0000019463TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Aug 6, 2024 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Apr 3, 2018 Accepting new patients
First Choice Health Centers, Inc. CurrentSince Apr 3, 2018 Accepting new patients
Wind River Family & Community Healthc Care CurrentSince Jun 20, 2022 Accepting new patients
Omak Tribal Health Clinic CurrentSince Sep 4, 2018 Accepting new patients
DHHS IHS Colville Service Unit CurrentSince Sep 4, 2018 Accepting new patients
Elbowoods Memorial Health Center CurrentSince Aug 7, 2017 Accepting new patients
Elizabethtown Community Hospital CurrentSince Aug 6, 2024 Accepting new patients

Locations

94 Connecticut Blvd
Hartford, CT 06108
Phone (860) 610-6191

150 N Main St
Ste 240
Manchester, CT 06042
Phone (860) 610-6191

1058 College Dr
New Town, ND 58763
Phone (701) 627-4750

1251 Elbowoods Loop
New Town, ND 58763
Phone (701) 627-4750

2679 Main St
Crown Point, NY 12928
Phone (518) 216-4076

617 Benton St
Omak, WA 98841
Phone (509) 422-7416

14 Great Plains Rd
Arapahoe, WY 82510

Interoperability endpoints

  • Direct secure messaging: emily.poloji@xdr.hhchealthdirect.org
  • Direct secure messaging: epoloji580474@direct.uvmhealth.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922491349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112",
            "telephone_number": "701-627-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 COLLEGE DR",
            "city": "NEW TOWN",
            "state": "ND",
            "postal_code": "587639112",
            "telephone_number": "701-627-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1916 Patterson St",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032120",
            "country_code": "US",
            "telephone_number": "615-329-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLOJI",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2022-07-21",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000019463",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7036",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9415721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Town, ND

Sources for this page

Verify at the official NPI Registry.