Individual provider Active NPI

Doxie Telib Palma, DNP, PMHNP-BC

  • Nurse Practitioner
  • Tulare, CA
National Provider Identifier
1265998850
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95010769 Issued in CA
Practice address
Kingsview South Tulare County Mobile Services
201 North 'K' Street
Tulare, CA 93274
Phone
(661) 446-0439
NPI assigned
Feb 19, 2019
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95010769 CA Primary

Addresses

Primary practice location

Kingsview South Tulare County Mobile Services
201 North 'K' Street
Tulare, CA 93274

Mailing address

PO Box 80802
Bakersfield, CA 93380-0802
Phone (559) 687-0929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002163 CA Practitioner - Nurse Practitioner 3072901941 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95010769CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings View CurrentSince Dec 12, 2023 Accepting new patients
Kings View CurrentSince Dec 12, 2023 Accepting new patients
Southtulare County Mobile Unit PastSince Nov 20, 2022 Accepting new patients

Locations

1396 W Herndon Ave
Fresno, CA 93711
Phone (559) 216-1997

1393 Bailey St
Hanford, CA 93230
Phone (559) 582-4481

201 N K St
Tulare, CA 93274
Phone (559) 687-0929

Interoperability endpoints

  • Direct secure messaging: doxie.palma.1@25900.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1265998850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80802",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933800802",
            "telephone_number": "559-687-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KINGSVIEW SOUTH TULARE COUNTY MOBILE SERVICES",
            "address_2": "201 NORTH 'K' STREET",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "93274",
            "telephone_number": "661-446-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMA",
        "first_name": "DOXIE",
        "middle_name": "TELIB",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95010769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.