McKenzie Rose Palmer

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

16548 N Profit Cir Apt 202
Nampa, ID 83687-5363

Phone

(775) 835-1361

NPI assigned

Oct 7, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1831796291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16548 N PROFIT CIR APT 202",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875363",
            "telephone_number": "775-835-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16548 N PROFIT CIR APT 202",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875363",
            "telephone_number": "775-835-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "MCKENZIE",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce F. Pagano II, LCPC, NCC
• Randell L Page, D.O.
• Mandy Palesano, PHARMD
• Jessica Ann Palmer
• Lexyn Jade Palmer
• Emily Pantaleo
• Jitrudee Paoheng, PHARMD
• Joseph L Papiez, MD
• Yael Samai Parada
• Jamie Parker

• Behavior Technician in Nampa, ID
• Providers in Nampa, ID by specialty
• Behavior Technician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.