Emily Poloji
Individual provider Active NPI Family Nurse Practitioner · New Town, ND
NPI 1922491349 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1922491349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 7036 (CT)
- Practice address
- 1058 College Dr
New Town, ND 58763-9112 - Phone
- (701) 627-4750
- NPI assigned
- Mar 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in ND, TX, CT, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 345332 | NY | MD | Licensed Practical Nurse |
| ARNP9415721 | FL | MD | Family Nurse Practitioner |
| APN0000019463 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current |
Accepting new patients | |
| Wind River Family & Community Healthc Care | Current |
Accepting new patients | |
| Omak Tribal Health Clinic | Current |
Accepting new patients | |
| First Choice Health Centers, Inc. | Current |
Accepting new patients | |
| DHHS IHS Colville Service Unit | Current |
Accepting new patients | |
| First Choice Health Centers, Inc. | Current |
Accepting new patients | |
| Elbowoods Memorial Health Center | Current |
Accepting new patients | |
| Elizabethtown Community Hospital | Current |
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
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- emily.poloji@xdr.hhchealthdirect.org
- epoloji580474@direct.uvmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000019463 | TN | |
| Family Nurse Practitioner | 363LF0000X | 7036 | CT | Yes |
| 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
Other providers in New Town, ND
- Opportunity Foundation Inc
- John William Pemberton
- Bridget Peters
- Shanyce Pienaar
- Ever Joy Calipjo Pinera
- Kelli Elaine Quick Bear
- Lawrence Kent Ray
- Zane C Rising Sun
- Tamara D Scott
- Jared Seaboy
All providers in New Town, ND · Family Nurse Practitioner in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.