NPIMap

Organization Active NPI

Pultro and Palmer, P.a.

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1669581526
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A#270 Issued in AR
Legal business name
PULTRO AND PALMER, P.A.
Practice address
500 S University Ave
Suite 405
Little Rock, AR 72205-5302
Phone
(501) 664-5511
Fax
(501) 664-5149
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tracy Marie Van Es, AU.D.
Title
Audiologist
Phone
(501) 626-9606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X A#270 AR Primary

Addresses

Primary practice location

500 S University Ave
Suite 405
Little Rock, AR 72205-5302

Mailing address

13815 Harold Dr
Alexander, AR 72002-7293
Phone (501) 407-0003

National Provider Directory

National Provider Directory
Tax ID family
Pultro and Palmer PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

500 S University Ave
Ste 405
Little Rock, AR 72205
Phone (501) 664-5511

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669581526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13815 HAROLD DR",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720027293",
            "telephone_number": "501-407-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 405",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-664-5511",
            "fax_number": "501-664-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULTRO AND PALMER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN ES",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "AUDIOLOGIST",
        "authorized_official_telephone_number": "501-626-9606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "AR",
            "license": "A#270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.