Active NPI
Prism Health & Wellness PLLC
- Nurse Practitioner
- Alton, IL
National Provider Identifier
1407769508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- PRISM HEALTH & WELLNESS PLLC
- Practice address
- 2710 College Ave Ste G
Alton, IL 62002-4707 - Phone
- (314) 669-5215
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cody Palmer, DNP, APRN
- Title
- Aprn/Owner
- Phone
- (618) 335-2575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
2710 College Ave Ste G
Alton, IL 62002-4707
Mailing address
2710 College Ave Ste G
Alton, IL 62002-4707
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1407769508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2710 COLLEGE AVE STE G",
"city": "ALTON",
"state": "IL",
"postal_code": "620024707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 COLLEGE AVE STE G",
"city": "ALTON",
"state": "IL",
"postal_code": "620024707",
"telephone_number": "314-669-5215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRISM HEALTH & WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "CODY",
"authorized_official_title_or_position": "APRN/OWNER",
"authorized_official_telephone_number": "618-335-2575",
"authorized_official_credential": "DNP, APRN"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.