Kimberly Dawn Palmer, MA, CCC-A

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

35-01-003406 Issued in MI

Practice address

601 John St
Suite M-273
Kalamazoo, MI 49007-5341

Phone

(269) 381-0180

Fax

(269) 381-7347

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kimberly Dawn Blair Other name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hearing Specialists of Kalamazoo IncGroup PAC ID 8921267840, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hearing Specialists of Kalamazoo Inc

  • Audiologist-Hearing Aid Fitter
  • Kalamazoo, MI
  • NPI 1073763108
  Medicare reassignment Care Compare group NPD Authorized official
• Healthcare Midwest, PC

  • Durable Medical Equipment & Medical Supplies
  • Kalamazoo, MI
  • NPI 1245532456
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1205917267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 N SAINT JOSEPH AVE",
            "address_2": "C 1",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491202263",
            "telephone_number": "269-683-0800",
            "fax_number": "269-683-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-273",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-381-0180",
            "fax_number": "269-381-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "credential": "MA, CCC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "MI",
            "license": "35-01-003406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2996538",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010689294050",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4439159",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BLAIR",
            "middle_name": "DAWN",
            "credential": "MA, CCC-A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandria Palmer, RBT
• Christopher J Palmer
• Emilie Palmer, BCBA, LBA
• James S Palmer, NP
• Kemmel A Palmer
• Morgan Palmer
• Gabriela Palmitessa, M.D.
• Russell Paloian, D.O.
• Devang Pandit
• Gautam Krishna Pandrangi

• Audiologist-Hearing Aid Fitter in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Audiologist-Hearing Aid Fitter in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.