Kimberly J Polk Freeman

Primary specialty

DriverTaxonomy code 172A00000X

License

002937288 Issued in LA

Practice address

2600 Houma Blvd Apt 116
Metairie, LA 70001-1334

Phone

(504) 518-0619

NPI assigned

Aug 3, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kimberly Joannette Polk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Freely Travel & Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Metairie, LA
  • NPI 1306512660
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1982378071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 HOUMA BLVD APT 116",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011334",
            "telephone_number": "504-518-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 HOUMA BLVD APT 116",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011334",
            "telephone_number": "504-518-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK FREEMAN",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": "002937288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "POLK",
            "middle_name": "JOANNETTE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tliyah Mae Pointer I
• Poirot Podiatry, LLC
• Amber Breaux Poirot, DPM
• Brittany Poirrier
• Vincent Richard Polizzi II, RPH
• Diane Verlyncia Polk
• Travis Pollard, MA, LPC, EMDR
• David Anderson Pollet, M.D.
• Robert Louis Pollock, MD
• Jene Comeraux Ponder, DDS

• Driver in Metairie, LA
• Providers in Metairie, LA by specialty
• Driver in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.