Active NPI
David Gregory Palmer, RN, FNP-C
- Family Nurse Practitioner
- Southampton, PA
National Provider Identifier
1407313638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN2318755
- Practice address
- 123 Forrest Dr
Southampton, PA 18966-2153 - Phone
- (267) 808-9785
- NPI assigned
- Feb 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN2318755 | MA | Primary |
Addresses
Primary practice location
123 Forrest Dr
Southampton, PA 18966-2153
Mailing address
123 Forrest Dr
Southampton, PA 18966-2153
Phone (267) 808-9785
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2318755 | MA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550966400000",
"number": "1407313638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 FORREST DR",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189662153",
"telephone_number": "267-808-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 FORREST DR",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189662153",
"telephone_number": "267-808-9785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "DAVID",
"middle_name": "GREGORY",
"credential": "RN, FNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-24",
"last_updated": "2019-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN2318755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.