Active NPI
Nina A. Palmer, M.D.
- Psychiatry Physician
- Wellesley, MA
National Provider Identifier
1912920216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 49055
- Practice address
- 230 Worcester St
Wellesley, MA 02481-5420 - Phone
- (781) 431-5270
- Fax
- (781) 431-5535
- NPI assigned
- Jul 26, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 49055 | MA | Primary |
Addresses
Primary practice location
230 Worcester St
Wellesley, MA 02481-5420
Mailing address
230 Worcester St
Wellesley, MA 02481-5420
Phone (781) 431-5270
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J02364 | Other | MA | BLUE CROSS |
| 049055 | Other | MA | TUFTS HEALTH PLAN |
| 0017370 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | npalmermd4302@direct.atrius.masshiway.net |
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 |
|---|---|---|---|
| 49055 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1912920216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 WORCESTER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815420",
"telephone_number": "781-431-5270",
"fax_number": "781-431-5535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 WORCESTER ST",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024815420",
"telephone_number": "781-431-5270",
"fax_number": "781-431-5535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "NINA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-26",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "49055",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "J02364",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "049055",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0017370",
"state": "MA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "npalmermd4302@direct.atrius.masshiway.net",
"affiliation": "N",
"address_1": "230 Worcester St",
"city": "Wellesley",
"state": "MA",
"country_code": "US",
"postal_code": "024815420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wellesley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.