HEATHER ILANA POLK (NPI# 1831514488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831514488 |
| Entity Type | Individual |
| Full Name | HEATHER ILANA POLK |
| Other Name | HEATHER ILANA WILLIAMS |
| Credential | NP |
| Practice Address |
120 Suburban Rd Ste 203 Knoxville TN 37923-5592 |
| Mailing Address |
Po Box 15004 Knoxville TN 37901-5004 |
| Practice Telephone | 8656901464 |
| Practice Fax Number | 8779260521 |
| Mailing Telephone | 8655418895 |
| Mailing Fax Number | 8656334808 |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
18314 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q009822 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9017 Cross Park Dr Ste 300, Knoxville, TN 379238605 | 8656901464 | 8654707255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053973081 | Heather Elizabeth Polk | Nurse Practitioner | 200 Southland Dr, Sikeston, MO 63801-4403 | 2019-06-29 |
| 1538514609 | Heather Polk | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-04-26 |
| Street Address |
120 SUBURBAN RD STE 203 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37923-5592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689764656 | Deborah Jones Christiansen | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2006-10-13 |
| 1134525009 | Lauren Vannoy Johnson | Nurse Practitioner | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2014-11-05 |
| 1588094494 | East Tennessee Children's Hospital Association, Inc. | Pediatrics | 120 Suburban Rd Ste 203, Knoxville, TN 37923-5592 | 2013-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541240 | Chloe Morgan | Registered Nurse | Parkwest Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1215551346 | Kaylee Huskey | Registered Nurse | Park West Blvd, Knoxville, TN 37923 | 2020-06-04 |
| 1942849914 | American Brace & Limb Enterprise, LLC | Prosthetic/Orthotic Supplier | 9333 Parkwest Blvd., 103, Knoxville, TN 37923 | 2019-12-23 |
| 1619510690 | Stacia Working | Speech-Language Pathologist | 310 Corporate Dr, Ste 101, Knoxville, TN 37923 | 2019-10-23 |
| 1497242903 | Mary Ensminger Loomis | Speech-Language Pathologist | 118 N Peters Rd Ste 174, Knoxville, TN 37923 | 2018-04-19 |
| 1831699602 | Shaun Elizabeth Hoffman | Counselor | 311 Directors Dr, Knoxville, TN 37923 | 2018-02-17 |
| 1962948737 | East Tennessee Binocular Vision Center Pllc | Optometrist | 9051 Executive Park Dr., Ste. 400, Knoxvville, TN 37923 | 2017-01-17 |
| 1467815761 | Hearing Conservation Associates Inc | Audiologist | 9301 Parkwest Blvd B-3, Knoxville, TN 37923 | 2016-04-04 |
| 1710354725 | Independent Physical Therapy, LLC | Occupational Therapist | 8905 Town and Country Cir Ste 9, Knoxville, TN 37923 | 2015-08-25 |
| 1568863553 | Kathryn Faye Ledbetter | Registered Nurse | 9352 Park W Blvd, Knoxville, TN 37923 | 2014-09-09 |
| Find all providers in zip 37923 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437523149 | Marissa Grace Warwar | Nurse Practitioner | 2018 Clinch Ave Fl Tower2, Knoxville, TN 37916-2301 | 2015-11-18 |
| 1265803514 | Fauzia Khalid | Nurse Practitioner | 1439 Charlottesville Blvd, Knoxville, TN 37922-6658 | 2015-10-13 |
| 1326377177 | Lori R Hestand | Nurse Practitioner | 9220 Park West Blvd Ste 1, Knoxville, TN 37923-4405 | 2009-12-08 |
| 1205065984 | Sarah Lyttle Jones | Nurse Practitioner | 2072 Lakeside Centre Way, Knoxville, TN 37922-6591 | 2009-07-02 |
| 1508998246 | Cathy Kimball | Nurse Practitioner | 9724 Kingston Pike Ste 1005, Knoxville, TN 37922-6906 | 2007-03-09 |
| 1295822997 | Lawrie Nicholson Treakle | Nurse Practitioner | 2100 W. Clinch Ave Ste 120, Knoxville, TN 37916-2219 | 2006-10-06 |
| 1518060136 | Josephine Swann Nodell | Nurse Practitioner | 4529 Asheville Hwy, Knoxville, TN 37914-3607 | 2006-09-07 |
| 1770548000 | Gail Clift | Nurse Practitioner | 6305 Lonas Dr Ste 101, Knoxville, TN 37909-2732 | 2006-04-19 |
| 1346718020 | Lauri Michelle Gingerich | Nurse Practitioner | 2100 W Clinch Ave, Knoxville, TN 37916-2219 | 2018-11-11 |
| 1720581390 | Melissa Ann Guzman | Nurse Practitioner | 10857 Hardin Valley Rd, Knoxville, TN 37932-1410 | 2018-03-09 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.