Active NPI
Nancy Palker, CRNP
- Gerontology Nurse Practitioner
- Rockville, MD
National Provider Identifier
1346505583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R173419
- Practice address
- 1355 Piccard Dr
Suite 100
Rockville, MD 20850-4315 - Phone
- (301) 921-4400
- Fax
- (301) 921-4433
- NPI assigned
- Jul 12, 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R173419 | MD | Primary |
Addresses
Primary practice location
1355 Piccard Dr
Suite 100
Rockville, MD 20850-4315
Mailing address
1355 Piccard Dr
Suite 100
Rockville, MD 20850-4315
Phone (301) 921-4400
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 |
|---|---|---|---|
| R173419 | MD | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342051200000",
"number": "1346505583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 PICCARD DR",
"address_2": "SUITE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504315",
"telephone_number": "301-921-4400",
"fax_number": "301-921-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 PICCARD DR",
"address_2": "SUITE 100",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208504315",
"telephone_number": "301-921-4400",
"fax_number": "301-921-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALKER",
"first_name": "NANCY",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-12",
"last_updated": "2012-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MD",
"license": "R173419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.