Active NPI
Elizabeth Cowen Palmquist, MSN, FNP-C
- Family Nurse Practitioner
- Charlotte, NC
National Provider Identifier
1356922702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5017333
- Practice address
- 9805 Sandy Rock PL Ste E
Charlotte, NC 28277-7731 - Phone
- (919) 237-1337
- NPI assigned
- Apr 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1-164576 | AL | |
| Family Nurse Practitioner | 363LF0000X | 5017333 | NC | Primary |
Addresses
Primary practice location
9805 Sandy Rock PL Ste E
Charlotte, NC 28277-7731
Mailing address
10900 World Trade Blvd
Raleigh, NC 27617-4202
Phone (919) 237-1337
Other practice location 1
4100 Carmel Rd
Charlotte, NC 28226-6150
Phone (704) 542-9210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230201001830 | NC | Practitioner - Nurse Practitioner | 7719358696 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-164576 | AL | MD | Registered Nurse |
| 5017333 | NC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VRX2 LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Raleigh, NC
- NPI 1881121531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673740800000",
"number": "1356922702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 WORLD TRADE BLVD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276174202",
"telephone_number": "919-237-1337",
"fax_number": "919-237-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9805 SANDY ROCK PL STE E",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282777731",
"telephone_number": "919-237-1337"
}
],
"practiceLocations": [
{
"address_1": "4100 Carmel Rd",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282266150",
"country_code": "US",
"telephone_number": "704-542-9210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMQUIST",
"first_name": "ELIZABETH",
"middle_name": "COWEN",
"name_prefix": "Mrs.",
"credential": "MSN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-17",
"last_updated": "2023-01-15",
"certification_date": "2023-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AL",
"license": "1-164576",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5017333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.