Active NPI
Jo Ann Palmer, CRNP
- Pediatric Nurse Practitioner
- Philadelphia, PA
National Provider Identifier
1669701991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- TP006705D
- Practice address
- 34TH Street and Civic Center Blvd.
Children's Hospital of Philadelphia
Philadelphia, PA 19104 - Phone
- (215) 590-6778
- Fax
- (215) 590-9317
- NPI assigned
- Dec 16, 2009
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | TP006705D | PA | Primary |
Addresses
Primary practice location
34TH Street and Civic Center Blvd.
Children's Hospital of Philadelphia
Philadelphia, PA 19104
Mailing address
P. O. Box 298
674 Cafferty Rd
Ottsville, PA 18942
Phone (610) 847-1925
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 |
|---|---|---|---|
| TP006705D | PA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669701991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 298",
"address_2": "674 CAFFERTY RD",
"city": "OTTSVILLE",
"state": "PA",
"postal_code": "18942",
"telephone_number": "610-847-1925",
"fax_number": "215-590-9317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34TH STREET AND CIVIC CENTER BLVD.",
"address_2": "CHILDREN'S HOSPITAL OF PHILADELPHIA",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-6778",
"fax_number": "215-590-9317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JO ANN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "PA",
"license": "TP006705D",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.