David Palmer, RD, LD

Primary specialty

Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X

License

DT84872 Issued in TX

Practice address

1500 Cooper St
Fort Worth, TX 76104-2710

Phone

(817) 347-6872

Fax

(682) 885-7568

NPI assigned

Aug 14, 2017

Sex

Male

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)

Enrolled

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1851817613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99371",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761990371",
            "telephone_number": "682-885-1855",
            "fax_number": "682-885-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COOPER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042710",
            "telephone_number": "817-347-6872",
            "fax_number": "682-885-7568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5841 recreation drive",
            "address_2": "apt # 2241",
            "address_purpose": "LOCATION",
            "city": "fort worth",
            "state": "TX",
            "postal_code": "76109",
            "country_code": "US",
            "telephone_number": "903-530-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DAVID",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "TX",
            "license": "DT84872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palliative Performance Group LLC
• Joseph Dominick Pallone, MD
• Elizabeth A Palmarozzi, DO
• Andrea Brooke Palmer, M.D.
• Ann Marie Palmer, PTA
• Evelyn B Palmer, RN
• Ronald Maclean Palmer, AGPCNP-BC
• Tyffani Tynneil Palmer, DDS
• Palmercare Chiropractic Fort Worth LLC
• Palo Pinto County Hospital District

• Pediatric Nutrition Registered Dietitian in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pediatric Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.