Active NPI
Kelly A Palm, FNP-C
- Family Nurse Practitioner
- Easthampton, MA
National Provider Identifier
1174923940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN206318
- 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
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 |
|---|---|---|---|---|
| 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.