Individual provider Active NPI

Warden Lamar Palmer, APRN

  • Acute Care Clinical Nurse Specialist
  • Lubbock, TX
National Provider Identifier
1356385504
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Clinical Nurse SpecialistTaxonomy code 364SA2100X
License
578145 Issued in TX
Practice address
1802 E 50TH St
Suite 104
Lubbock, TX 79404
Phone
(806) 771-1160
Fax
(806) 771-1162
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 578145 TX
Acute Care Clinical Nurse Specialist 364SA2100X 578145 TX Primary

Addresses

Primary practice location

1802 E 50TH St
Suite 104
Lubbock, TX 79404

Mailing address

1802 E 50TH St
Suite 104
Lubbock, TX 79404
Phone (806) 771-1160

Other identifiers 1

IdentifierTypeStateIssuer
1356385504OtherTXNPI

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Family Medical Center Past Accepting new patients
Ben Edwards PA Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399507200000",
    "number": "1356385504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E 50TH ST",
            "address_2": "SUITE 104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79404",
            "telephone_number": "806-771-1160",
            "fax_number": "806-771-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 E 50TH ST",
            "address_2": "SUITE 104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79404",
            "telephone_number": "806-771-1160",
            "fax_number": "806-771-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "WARDEN",
        "middle_name": "LAMAR",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "578145",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "TX",
            "license": "578145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356385504",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.