Active NPI
Travis Palmer, FNP-C
- Family Nurse Practitioner
- Newington, NH
National Provider Identifier
1881173847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 075064-23
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075064-23 | NH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Life Health Care, PA | Family | Current | 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
- 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
- Newington Spine and Joint, LLC
- Anh L. Ngo, M.D.
- NH Dental Design, PC
- Northeast Surgical Care of Newington, LLC (Northeast Surgical Care)
- Pain Surgery Center Limited Liability Company
- Andrea Martin Parsons, M.ED., LCMHC
- Laura M. Peterson, LICSW
- Patricia Ann Pettis, APRN
- Brianne Pileggi, MS BCBA
- Anna M Pilzer, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.