Candace Palmer, RN

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

4905 Craydon Dr
Columbia, MO 65203-9018

Phone

(573) 514-0097

NPI assigned

May 5, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1386265965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 CRAYDON DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039018",
            "telephone_number": "573-514-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 CRAYDON DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039018",
            "telephone_number": "573-514-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "CANDACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramya Palaniappan, DO
• Angela Palant, DO
• Joseph Thomas Palazzo
• Martha Jean Palazzo
• Andrew Ryan Palisch, M.D.
• Janice Marie Palmer
• Jordan Bailey Palmer, APRN-CNP
• Michael James Palmer, LPC
• Necole C Palmer, M.H.S., CCC-SLP
• Robert Verdell Palmer, RN

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.