Individual provider Active NPI

Kathryn Palmer, NP

  • Primary Care Nurse Practitioner
  • Greeley, CO
National Provider Identifier
1689039299
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0992005-NP Issued in CO
Practice address
2010 16TH St Ste a
Greeley, CO 80631-5188
Phone
(970) 810-2026
NPI assigned
Dec 24, 2015
Last updated
Jan 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 0992005-NP CO Primary

Addresses

Primary practice location

2010 16TH St Ste a
Greeley, CO 80631-5188

Mailing address

2010 16TH St Ste a
Greeley, CO 80631-5188
Phone (970) 810-2026

Other practice location 1

2110 O St
Greeley, CO 80631-9503
Phone (970) 356-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221000042 CO Practitioner - Nurse Practitioner 2961763685 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0992005-NPCOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC CurrentSince Feb 26, 2018 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Feb 26, 2018 Accepting new patients

Locations

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

2010 16th St
Ste A
Greeley, CO 80631
Phone (970) 392-2026

1900 Boise Ave
Ste 220
Loveland, CO 80538
Phone (970) 203-2120

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1450915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1689039299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 16TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315188",
            "telephone_number": "970-810-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 16TH ST STE A",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806315188",
            "telephone_number": "970-810-2026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2110 O St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319503",
            "country_code": "US",
            "telephone_number": "970-356-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-24",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "0992005-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

Verify at the official NPI Registry.