Individual provider Active NPI

Keith Christopher Palm, RN

  • Community Health Registered Nurse
  • Fort Carson, CO
National Provider Identifier
1003888629
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN505912L Issued in PA
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN505912LPAMDCommunity 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.

Verify at the official NPI Registry.