Individual provider Active NPI

Kelly A Palm, FNP-C

  • Family Nurse Practitioner
  • Easthampton, MA
National Provider Identifier
1174923940
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN206318 Issued in MA
Practice address
238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046
Phone
(413) 529-9300
Fax
(413) 527-7517
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN206318 MA Primary

Addresses

Primary practice location

238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046

Mailing address

238 Northampton St
Easthampton Health Center
Easthampton, MA 01027-1046
Phone (413) 529-9300

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1174923940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 NORTHAMPTON ST",
            "address_2": "EASTHAMPTON HEALTH CENTER",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271046",
            "telephone_number": "413-529-9300",
            "fax_number": "413-527-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 NORTHAMPTON ST",
            "address_2": "EASTHAMPTON HEALTH CENTER",
            "city": "EASTHAMPTON",
            "state": "MA",
            "postal_code": "010271046",
            "telephone_number": "413-529-9300",
            "fax_number": "413-527-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALM",
        "first_name": "KELLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN206318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easthampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.