Active NPI
Earl Palmer
- Clinical Social Worker
- Baton Rouge, LA
National Provider Identifier
1922423334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2178
- Practice address
- 4727 Revere Ave
Baton Rouge, LA 70808-3168 - Phone
- (225) 924-0123
- NPI assigned
- Feb 20, 2014
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2178 | LA | Primary |
Addresses
Primary practice location
4727 Revere Ave
Baton Rouge, LA 70808-3168
Mailing address
4727 Revere Ave
Baton Rouge, LA 70808-3168
Phone (225) 924-0123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184074000 | Medicaid | LA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2178 | LA | MD | Family Nurse Practitioner |
Interoperability endpoints
- earl.palmer.1@24298.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392854400000",
"number": "1922423334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4727 REVERE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083168",
"telephone_number": "225-924-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 REVERE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708083168",
"telephone_number": "225-924-0123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "EARL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-20",
"last_updated": "2014-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "2178",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184074000",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.