Peggy Palk

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

40408 Issued in TN

Practice address

200 W 10TH St
TN Dept of Health
Cookeville, TN 38501-6077

Phone

(931) 528-7531

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043345804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3876 OLD GAINESBORO RD",
            "city": "BLOOMINGTON SPRINGS",
            "state": "TN",
            "postal_code": "385454512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 10TH ST",
            "address_2": "TN DEPT OF HEALTH",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385016077",
            "telephone_number": "931-528-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALK",
        "first_name": "PEGGY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "40408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Page, LPN
• Michael Anton Pahl, M.D.
• Paige Gernt LLC
• Pain MD LLC
• Mike Palk, L.P.C.
• Cedric Morris Palmer Jr., M.D.
• Robin Palmer, R.N.
• Billy D Parsons, MD
• Lachelle Parsons
• Nicole Patch, BSN, RN

• All providers in Cookeville, TN
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.