Active NPI
Celeste D. Palmer, MD
- Pediatrics Physician
- Richmond, TX
National Provider Identifier
1881803807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N9760
- Practice address
- 400 Austin St
Richmond, TX 77469-4406 - Phone
- (281) 342-4530
- NPI assigned
- May 22, 2007
- Last updated
- May 13, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116017392 | VA | |
| Pediatrics Physician | 208000000X | 0101243322 | VA | |
| Pediatrics Physician | 208000000X | N9760 | TX | Primary |
Addresses
Primary practice location
400 Austin St
Richmond, TX 77469-4406
Mailing address
5350 Bellaire Blvd
#342
Bellaire, TX 77402-1207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861263359 | Medicaid | TX | |
| P00705134 | Other | VA | RR MEDICARE |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N9760 | TX | MD | Pediatrics Physician |
| 0101243322 | VA | MD | Pediatrics Physician |
| 0116017392 | VA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Hospitalists Inc | Past | Accepting new patients | |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- cpalmer151691@prddirect.texaschildrens.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba TCP Grand Parkway
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
-
dba Virginia Hospitalists
- Internal Medicine Physician
- Richmond, VA
- NPI 1427047562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368403200000",
"number": "1881803807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 BELLAIRE BLVD",
"address_2": "#342",
"city": "BELLAIRE",
"state": "TX",
"postal_code": "774021207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 AUSTIN ST",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774694406",
"telephone_number": "281-342-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CELESTE",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2013-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116017392",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101243322",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N9760",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861263359",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00705134",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.