Sandra F Palmer, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN049331 Issued in AZ

Practice address

3700 Willow Creek Rd
Prescott, AZ 86301-3721

Phone

(928) 777-6653

Fax

(928) 777-3850

NPI assigned

Apr 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Embry Riddle Wellness Center

  • General Practice Physician
  • Prescott, AZ
  • NPI 1104166727
  NPD (past) Authorized official
• Embry-Riddle Aeronautical University, Inc.

  • General Practice Physician
  • Daytona Beach, FL
  • NPI 1679097307
  NPD (past)

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1740623339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013721",
            "telephone_number": "928-777-6653",
            "fax_number": "928-777-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863013721",
            "telephone_number": "928-777-6653",
            "fax_number": "928-777-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SANDRA",
        "middle_name": "F",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN049331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "RN049331",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• P&G Allergy & Family Practice PLLC
• Nancy J Page, RN
• Martha Jean Painter, L.AC.
• Deborah Jane Pallett, PA-C
• Russell Leon Palmer Jr., RT, BS
• Jacqueline Natalie Paluch, PHARMD
• Arabinda Kahna Pani, M.D.
• Candice Panton, NP
• Paradise Care Homes LLC (Paradise 1 at Prescott)
• Paramount Recovery Center LLC

• Registered Nurse in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.