Active NPI
Shelly Kaye Palmer
- Registered Dietitian
- Salem, OR
National Provider Identifier
1457519688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 873
- Practice address
- 764 Creekside Dr SE
Salem, OR 97306-9333 - Phone
- (541) 990-1260
- NPI assigned
- May 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 873 | OR | Primary |
Addresses
Primary practice location
764 Creekside Dr SE
Salem, OR 97306-9333
Mailing address
764 Creekside Dr SE
Salem, OR 97306-9333
Phone (541) 990-1260
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Quality Nutrition | 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.
-
- Assisted Living Facility
- Salem, OR
- NPI 1134363831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1457519688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 CREEKSIDE DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973069333",
"telephone_number": "541-990-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 CREEKSIDE DR SE",
"city": "SALEM",
"state": "OR",
"postal_code": "973069333",
"telephone_number": "541-990-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "SHELLY",
"middle_name": "KAYE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.