Casey Jordan Palmer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

0001251510 Issued in VA

Practice address

1718 Concord St
Johnson City, TN 37604-7235

Phone

(276) 780-0069

NPI assigned

Dec 15, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1316715667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 CONCORD ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047235",
            "telephone_number": "276-780-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CONCORD ST",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047235",
            "telephone_number": "276-780-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CASEY",
        "middle_name": "JORDAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001251510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Medicine Associates, P.C.
• Pain Medicine Associates, P.C.
• April D Painter, FNP
• Anthony J Palazzo, MD
• Melissa S Palazzo, M.D.
• Helen H Palmer, APRN ANP
• Rebecca Kay Marie Palmer, LPN
• Pamela J. Costello, MD, PC
• Li Pang, MD
• Stephanie Panoncillo, AUD

• Registered Nurse in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.