MIKA POLLY FNP NPI 1417326547

NPI Information

  • NPI: 1417326547
  • Provider Name: MIKA POLLY, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4642 N LOOP 289
    STE 211
    LUBBOCK, TX
    ZIP 79416
  • Phone: (806) 712-9007

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NPI Details

Mika Polly, FNP is a family nurse practitioner in Lubbock, TX. Mika Polly, FNP NPI is 1417326547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4642 N LOOP 289
STE 211
LUBBOCK, TX
ZIP 79416-425
Phone: (806) 712-9007

The NPI 1417326547 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/18/2015 and was last updated on 9/8/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP129050TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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