Wood M Palmer

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

DS-2020-057 Issued in WY

Practice address

610 W Broadway Ave Ste L1
Jackson, WY 83001-8213

Phone

(307) 733-3908

Fax

(307) 734-0017

NPI assigned

Sep 23, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1144836271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11390",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830021390",
            "telephone_number": "307-733-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W BROADWAY AVE STE L1",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018213",
            "telephone_number": "307-733-3908",
            "fax_number": "307-734-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "WOOD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WY",
            "license": "DS-2020-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Jackson",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Jackson",
            "address_1": "610 W Broadway Ave Ste L1",
            "city": "Jackson",
            "state": "WY",
            "country_code": "US",
            "postal_code": "830018213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Summer Cathlin Owens, D.D.S.
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• Sarah Anne Patton, LPC
• Meaghan Makala Paul, DPT
• Charles Lee Payne, MD
• Holly Gail Payne, D.O.
• John C Payne, D.O.

• Peer Specialist in Jackson, WY
• Providers in Jackson, WY by specialty
• Peer Specialist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.