Individual provider Active NPI

Travis Palmer, FNP-C

  • Family Nurse Practitioner
  • Newington, NH
National Provider Identifier
1881173847
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
075064-23 Issued in NH
Practice address
100 Shattuck Way
Newington, NH 03801-8004
Phone
(603) 431-6677
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 075064-23 NH Primary

Addresses

Primary practice location

100 Shattuck Way
Newington, NH 03801-8004

Mailing address

77 Bay Rd
Newmarket, NH 03857-1710
Phone (908) 303-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181010000491 NH Practitioner - Nurse Practitioner 6507118114 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
075064-23NHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Life Health Care, PA Family CurrentSince Oct 1, 2018 Accepting new patients

Locations

100 Shattuck Way
Portsmouth, NH 03801
Phone (603) 431-6677

100 Shattuck Way
Ste 100
Portsmouth, NH 03801
Phone (603) 347-8810

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9362/brand/1/csg/1/fhir/r4

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": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1881173847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BAY RD",
            "city": "NEWMARKET",
            "state": "NH",
            "postal_code": "038571710",
            "telephone_number": "908-303-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SHATTUCK WAY",
            "city": "NEWINGTON",
            "state": "NH",
            "postal_code": "038018004",
            "telephone_number": "603-431-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "075064-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, NH

Sources for this page

Verify at the official NPI Registry.