Individual provider Active NPI

Lindsey Nicole Palmer, MS CCC-SLP

  • Speech-Language Pathologist
  • Odessa, TX
National Provider Identifier
1497416465
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119181 Issued in TX
Practice address
4010 Medical Park Dr
Odessa, TX 79765-5066
Phone
(432) 614-0268
NPI assigned
Jan 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 119181 TX Primary

Addresses

Primary practice location

4010 Medical Park Dr
Odessa, TX 79765-5066

Mailing address

4010 Medical Park Dr
Odessa, TX 79765-5066
Phone (432) 614-0268

Other names 1

  • Lindsey Nicole Greenlee Former name

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapy of Texas Speech-Language Pathologist CurrentSince Oct 22, 2023 Accepting new patients

Locations

4010 Medical Park Dr
Odessa, TX 79765
Phone (432) 614-0268

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.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680652800000",
    "number": "1497416465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 MEDICAL PARK DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797655066",
            "telephone_number": "432-614-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 MEDICAL PARK DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797655066",
            "telephone_number": "432-614-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LINDSEY",
        "middle_name": "NICOLE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "GREENLEE",
            "middle_name": "NICOLE",
            "credential": "MS CF-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.