Active NPI
Nicole Marie Palmer, APRN
- Family Nurse Practitioner
- Glenshaw, PA
National Provider Identifier
1831446608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP017182
- Practice address
- 3394 Saxonburg Blvd Ste 600
Glenshaw, PA 15116-3169 - Phone
- (412) 767-0707
- Fax
- (412) 767-0708
- NPI assigned
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP017182 | PA | Primary |
Addresses
Primary practice location
3394 Saxonburg Blvd Ste 600
Glenshaw, PA 15116-3169
Mailing address
3394 Saxonburg Blvd Ste 600
Glenshaw, PA 15116-3169
Phone (127) 670-7074
Other practice location 1
5324 Penn Ave
Pittsburgh, PA 15224-1733
Phone (412) 441-4884
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP017182 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegheny Clinic Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- npalmer333249@direct.ahn.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1831446608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3394 SAXONBURG BLVD STE 600",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151163169",
"telephone_number": "127-670-7074",
"fax_number": "412-767-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 SAXONBURG BLVD STE 600",
"city": "GLENSHAW",
"state": "PA",
"postal_code": "151163169",
"telephone_number": "412-767-0707",
"fax_number": "412-767-0708"
}
],
"practiceLocations": [
{
"address_1": "5324 Penn Ave",
"address_purpose": "LOCATION",
"city": "Pittsburgh",
"state": "PA",
"postal_code": "152241733",
"country_code": "US",
"telephone_number": "412-441-4884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-10",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP017182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenshaw, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.