Active NPI
Keith Christopher Palm, RN
- Community Health Registered Nurse
- Fort Carson, CO
National Provider Identifier
1003888629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- RN505912L
- Practice address
- USA Meddac, Evans Army Community Hospital
1650 Cochrane Circle, Attn: Credentials Office
Fort Carson, CO 80913-4604 - Phone
- (719) 526-7844
- Fax
- (719) 526-7984
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN505912L | PA | Primary |
Addresses
Primary practice location
USA Meddac, Evans Army Community Hospital
1650 Cochrane Circle, Attn: Credentials Office
Fort Carson, CO 80913-4604
Mailing address
7922 Bayonet Cir
Apt B
Fort Carson, CO 80913-4686
Phone (719) 559-4678
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN505912L | PA | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1003888629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7922 BAYONET CIR",
"address_2": "APT B",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134686",
"telephone_number": "719-559-4678",
"fax_number": "719-526-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "USA MEDDAC, EVANS ARMY COMMUNITY HOSPITAL",
"address_2": "1650 COCHRANE CIRCLE, ATTN: CREDENTIALS OFFICE",
"city": "FORT CARSON",
"state": "CO",
"postal_code": "809134604",
"telephone_number": "719-526-7844",
"fax_number": "719-526-7984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALM",
"first_name": "KEITH",
"middle_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "PA",
"license": "RN505912L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Carson, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.