Active NPI
Keisha Palmer
- Community Health Registered Nurse
- Eutawville, SC
National Provider Identifier
1649716879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 233287
- Practice address
- 133 Blakey CT
Eutawville, SC 29048-8936 - Phone
- (803) 971-0011
- NPI assigned
- Jan 11, 2017
- Last updated
- Jan 11, 2017
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 233287 | SC | Primary |
Addresses
Primary practice location
133 Blakey CT
Eutawville, SC 29048-8936
Mailing address
133 Blakey CT
Eutawville, SC 29048-8936
Phone (803) 971-0011
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233287 | SC | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1649716879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 BLAKEY CT",
"city": "EUTAWVILLE",
"state": "SC",
"postal_code": "290488936",
"telephone_number": "803-971-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 BLAKEY CT",
"city": "EUTAWVILLE",
"state": "SC",
"postal_code": "290488936",
"telephone_number": "803-971-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KEISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "SC",
"license": "233287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eutawville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.