Kimberly E Pollis, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

065579-23 Issued in NH

Practice address

1 Medical Center Dr
DHMC - Dept of Gastroenterology
Lebanon, NH 03756-1000

Phone

(603) 650-5261

NPI assigned

Sep 30, 2008

Last updated

Mar 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casco Bay Endoscopy

  • Ambulatory Surgical Clinic/Center
  • South Portland, ME
  • NPI 1538139001
  NPD (past)
• Casco Bay Gastroenterology LLC

  • Gastroenterology Physician
  • South Portland, ME
  • NPI 1972579241
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1982855623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "address_2": "DHMC - DEPT OF GASTROENTEROLOGY",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037561000",
            "telephone_number": "603-650-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLIS",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP081917",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "065579-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Jeanne Plummer, CRNA
• Rebecca Pociask, ATC, PA-C
• Ashik Pokharel
• Noelle Lauren Polakowski, MD
• Carly L Polizotto, PA
• Emily Ellen Pomichter, MA, PHD
• Scott Anthony Pompa, M.D.
• Swaroopa Ponnamreddy, MD
• Aravind Sandilya Ponukumati, MD
• Yolanda Danuta Poradowski, MD

• Family Nurse Practitioner in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; 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.