Palma Family Practice LLC

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Legal business name

PALMA FAMILY PRACTICE LLC

Practice address

130 S Broadway St Ste B
Blackfoot, ID 83221-2711

Phone

(208) 242-7698

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandy Palma, NPNPI 1023626876

Title

Owner

Phone

(773) 386-1861

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandy Palma

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1023626876
  Authorized official Same address or phone

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1649012972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S BROADWAY ST STE B",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212711",
            "telephone_number": "208-242-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S BROADWAY ST STE B",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "832212711",
            "telephone_number": "208-242-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 Lomax St",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834012524",
            "country_code": "US",
            "telephone_number": "208-242-7698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALMA FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-386-1861",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew L Olnes, MD
• Orthomedical, Inc
• Shawn B Ostler, M.D.
• Brent Stanley Packer, BS
• Packham Insurance Agency
• Catlin A Palmer, LCSW
• Kelly Page Palmer, D.O.
• Parkway Surgery Center LLC
• Parkway Surgery Center LLC
• Julene M Parson

• Health & Wellness Coach in Blackfoot, ID
• Providers in Blackfoot, ID by specialty
• Health & Wellness Coach in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.