Active NPI
Jillian Victoria Palmer, AU.D.
- Audiologist
- Clemmons, NC
National Provider Identifier
1285983288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 10159
- Practice address
- 2341 Lewisville Clemmons Rd
3Rd Floor Audiology
Clemmons, NC 27012-8905 - Phone
- (336) 713-3367
- Fax
- (336) 713-3366
- NPI assigned
- Sep 5, 2012
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 10159 | NC | Primary |
Addresses
Primary practice location
2341 Lewisville Clemmons Rd
3Rd Floor Audiology
Clemmons, NC 27012-8905
Mailing address
2341 Lewisville Clemmons Rd
3Rd Floor Audiology
Clemmons, NC 27012-8905
Phone (336) 713-3367
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10159 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1285983288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 LEWISVILLE CLEMMONS RD",
"address_2": "3RD FLOOR AUDIOLOGY",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128905",
"telephone_number": "336-713-3367",
"fax_number": "336-713-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 LEWISVILLE CLEMMONS RD",
"address_2": "3RD FLOOR AUDIOLOGY",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128905",
"telephone_number": "336-713-3367",
"fax_number": "336-713-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JILLIAN",
"middle_name": "VICTORIA",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NC",
"license": "10159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.