Individual Healthcare Provider
Latonya Polk
Provider's NPPES record last updated: June 30, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1861551814
- Primary Specialty
- Clinical Nurse Specialist — Psychiatric/Mental Health
- Practice Location
- Longview, Texas
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 7:30 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Clinical Nurse Specialist
Psychiatric/Mental Health
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 364SP0808X Clinic/Center
Adult Day Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QA0600XHome Health
Agencies
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Taxonomy code 251E00000XAssisted Living Facility
Nursing & Custodial Care Facilities
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Taxonomy code 310400000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Residential Treatment Facilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Taxonomy code 320900000X
Provider-Reported License Information
- Clinical Nurse Specialist (Texas)
- 1232380
Practice Locations
Practice Location
1328 Heritage Blvd
Longview, Texas 75605-1472
Phone: (902) 260-0412
Additional Practice Location
205 E US Highway 80
White Oak, Texas 75693-2103
Phone: (903) 297-4959
Fax: (903) 297-4999
Additional Practice Location
807 S Mobberly Ave
Longview, Texas 75602-2037
Phone: (903) 553-0143
Fax: (903) 297-4999
Record Information
- Enumeration Date
- December 6, 2006
- Provider's NPPES Record Last Updated
- June 30, 2026
- Certification Date
- June 30, 2026
- NPISignal NPPES Dataset
- August 2026
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