MRS. LATORIE POLK (NPI# 1295289486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295289486 |
| Entity Type | Individual |
| Full Name | MRS. LATORIE POLK |
| Practice Address |
1997 Highway 51 S Covington TN 38019-3630 |
| Mailing Address |
2380 Henry St Dyersburg TN 38024-1847 |
| Practice Telephone | 9014768967 |
| Mailing Telephone | 7312871794 |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| Street Address |
1997 HIGHWAY 51 S |
| City | COVINGTON |
| State | TN |
| Zip Code | 38019-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457351215 | Professional Care Services of West Tn, Inc. | Clinic/Center | 1997 Highway 51 S, Covington, TN 38019-3630 | 2005-07-22 |
| 1710542543 | Stephanie Rogers | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2019-05-07 |
| 1548727522 | Christy Taylor Goforth | Nurse Practitioner | 1997 Highway 51 S, Covington, TN 38019-3630 | 2019-02-26 |
| 1396227963 | Shantell Tremble | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2018-08-30 |
| 1033691696 | Patricia Lynn Bradley | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2018-08-30 |
| 1134627961 | Molly Tzila Rafaely | Counselor | 1997 Highway 51 S, Covington, TN 38019-3630 | 2018-01-26 |
| 1174044812 | Anthony Graves Huffman | Social Worker | 1997 Highway 51 S, Covington, TN 38019-3630 | 2017-07-03 |
| 1306387196 | Kristen Murray | Case Manager/Care Coordinator | 1997 Highway 51 S, Covington, TN 38019-3630 | 2017-03-14 |
| 1346788700 | Leslie Corinne Smith | Case Manager/Care Coordinator | 1997 Highway 51 S, Covington, TN 38019-3630 | 2017-02-06 |
| 1992157895 | Breanna Tressie Marie Cochran | Case Manager/Care Coordinator | 1997 Highway 51 S, Covington, TN 38019-3630 | 2016-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957361 | Pcs Midsouth Transport LLC | Non-emergency Medical Transport (VAN) | 1723 Highway 51 S Ste E, Covington, TN 38019 | 2020-06-24 |
| 1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
| 1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
| 1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
| 1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
| 1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
| 1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
| 1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
| 1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
| 1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
| Find all providers in zip 38019 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356715445 | Wyatt L. Nichols, Ph.d., PC | Psychologist | 8142 Country Village Dr Ste 102, Cordova, TN 38016-2029 | 2015-11-30 |
| 1578513909 | Rebecca Rutledge | Psychologist | 5100 Poplar Ave, Suite 2223, Memphis, TN 38137-4000 | 2006-05-10 |
Please comment or provide details below to improve the information on MRS. LATORIE POLK.
| 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.