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MS. SHANITA SIMONE POLK LPN
NPI 1205163326
Licensed Practical Nurse in Rochester, NY

Active since November 10, 2009
48 HARWIN DR, ROCHESTER, NY 14623(585) 334-9357 Get Directions Write a Review

NPPES record last updated: November 10, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Shanita Simone Polk Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHANITA SIMONE POLK LPN (NPI 1205163326) is an individual licensed practical nurse in Rochester, New York, licensed in New York (272314-1) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1205163326
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. SHANITA SIMONE POLKCredential: LPN
Location Address48 HARWIN DRRochester, NY 14623-4716
Mailing Address48 Harwin DrRochester, NY 14623-4716 · (585) 334-9357
Phone(585) 334-9357
Sole ProprietorYes
Enumeration DateNovember 10, 2009
✔ NPI 1205163326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 272314-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
48 HARWIN DR, Rochester, NY 14623
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHELSEA PRESCOTT
Licensed Practical Nurse
48 HARWIN DR
ROCHESTER, NY 14623
Monroe County (585) 282-8988

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanita Polk's NPI number?

The NPI number for Shanita Polk is 1205163326. It was assigned to this individual provider in the NPPES registry on November 10, 2009.

Where is Shanita Polk located?

Shanita Polk practices at 48 Harwin Dr, Rochester, NY 14623. The listed phone number is (585) 334-9357.

What is Shanita Polk's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Shanita Polk was last updated on November 10, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.