Active NPI
Penny M Palmer, MD
- Psychiatry Physician
- Spokane, WA
National Provider Identifier
1700855236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 36458
- Practice address
- 123 E Indiana Ave
Suite 100
Spokane, WA 99207-2313 - Phone
- (509) 241-4207
- Fax
- (509) 444-3256
- NPI assigned
- Mar 16, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00037224 | WA | |
| Psychiatry Physician | 2084P0800X | 36458 | AZ | Primary |
Addresses
Primary practice location
123 E Indiana Ave
Suite 100
Spokane, WA 99207-2313
Mailing address
123 E Indiana Ave
Suite 100
Spokane, WA 99207-2313
Phone (509) 241-4207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7148406 | Medicaid | WA | |
| 7922404 | Medicaid | WA |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00037224 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alaska Department of Administration | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Anchorage, AK
- NPI 1497842553
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700855236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E INDIANA AVE",
"address_2": "SUITE 100",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072313",
"telephone_number": "509-241-4207",
"fax_number": "509-444-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E INDIANA AVE",
"address_2": "SUITE 100",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992072313",
"telephone_number": "509-241-4207",
"fax_number": "509-444-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "PENNY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00037224",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "36458",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7148406",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7922404",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.