Active NPI
Alicia Palmer Hooten, M.D.
- Pediatrics Physician
- Rapid City, SD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11961
- Practice address
- 2905 5TH St
Rapid City, SD 57701-7316 - Phone
- (605) 341-7337
- NPI assigned
- Jun 11, 2012
- Last updated
- Aug 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R73283 | AZ | |
| Pediatrics Physician | 208000000X | 11961 | SD | Primary |
Addresses
Primary practice location
2905 5TH St
Rapid City, SD 57701-7316
Mailing address
2905 5TH St
Rapid City, SD 57701-7316
Other practice location 1
1501 N Campbell Ave
Tucson, AZ 85724-5073
Phone (520) 626-7944
Other names 1
- Dr. Alicia Palmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R73283 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
Interoperability endpoints
- apalmer.81502@regionalhealth.sdhealthlink.net
Organizations & group practices 4
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.
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
dba Monument Health Rapid Valley Clinic
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
-
dba Monument Health Neuropsychology
- Psychiatry Physician
- Rapid City, SD
- NPI 1164797189
-
dba Med360
- General Acute Care Hospital
- Rapid City, SD
- NPI 1437122009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597708800000",
"number": "1316209919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2905 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2905 5TH ST",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017316",
"telephone_number": "605-341-7337"
}
],
"practiceLocations": [
{
"address_1": "1501 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857245073",
"country_code": "US",
"telephone_number": "520-626-7944",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER HOOTEN",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2020-08-18",
"certification_date": "2020-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "R73283",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SD",
"license": "11961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "PALMER",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.