Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Latonya Polk

Individual provider Adult Day Care Clinic/Center · NPI 1861551814

Latonya Polk is a Nurse Practitioner in Longview, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2006
Specialties on file
5
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Practice location Address checks out

1328 Heritage Blvd
Longview, TX 75605-1472
Phone: (902) 260-0412
Fax: (866) 877-1258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 807 S Mobberly Ave, Longview, TX 75602-2037 — (903) 553-0143
  • 205 E Us Highway 80, White Oak, TX 75693-2103 — (903) 297-4959

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X · Licence 1232380 (TX)
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Home Health Agency Taxonomy 251E00000X
Assisted Living Facility Taxonomy 310400000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1861551814
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 6, 2006
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1328 Heritage Blvd, 1328 Heritage Blvd, Longview, TX 75605-1472

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Longview