Active NPI
Deirdre Ann Palmer, MD
- Nephrology Physician
- Richfield, MN
National Provider Identifier
1205987450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 36381
- Practice address
- 6601 Lyndale Ave S
Suite 220
Richfield, MN 55423-2477 - Phone
- (612) 823-8001
- NPI assigned
- Jan 15, 2007
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 36381 | MN | Primary |
Addresses
Primary practice location
6601 Lyndale Ave S
Suite 220
Richfield, MN 55423-2477
Mailing address
6200 Shingle Creek Pkwy
Suite 300
Brooklyn Center, MN 55430-2128
Phone (763) 561-5349
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Past | Accepting new patients | |
| Ilbnc, P.a. | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413417600000",
"number": "1205987450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SHINGLE CREEK PKWY",
"address_2": "SUITE 300",
"city": "BROOKLYN CENTER",
"state": "MN",
"postal_code": "554302128",
"telephone_number": "763-561-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 LYNDALE AVE S",
"address_2": "SUITE 220",
"city": "RICHFIELD",
"state": "MN",
"postal_code": "554232477",
"telephone_number": "612-823-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "DEIRDRE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2014-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "MN",
"license": "36381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richfield, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.