Individual provider Active NPI

Kathryn N Palmer, CPNP

  • Pediatric Nurse Practitioner
  • Mount Vernon, OH
National Provider Identifier
1932354784
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
APRN.CNP.10370 Issued in OH
Practice address
10 Woodlake TRL Ste C
Mount Vernon, OH 43050-9573
Phone
(740) 392-7337
Fax
(740) 392-7333
NPI assigned
Nov 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X APRN.CNP.10370 OH Primary

Addresses

Primary practice location

10 Woodlake TRL Ste C
Mount Vernon, OH 43050-9573

Mailing address

10 Woodlake TRL Ste C
Mount Vernon, OH 43050-9573
Phone (740) 392-7337

Other practice location 1

700 W Cherry St
Sunbury, OH 43074-8011
Phone (740) 625-5326

Other identifiers 1

IdentifierTypeStateIssuer
3047876MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.palmercpnp.p26@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220822003580 OH Practitioner - Nurse Practitioner 2466835509 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Community Practices, LLC CurrentSince May 12, 2022 Accepting new patients

Locations

1264 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-6801

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

10 Woodlake Trl
Ste C
Mount Vernon, OH 43050
Phone (740) 392-7337

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": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1932354784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAKE TRL STE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509573",
            "telephone_number": "740-392-7337",
            "fax_number": "740-392-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAKE TRL STE C",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509573",
            "telephone_number": "740-392-7337",
            "fax_number": "740-392-7333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Cherry St",
            "address_purpose": "LOCATION",
            "city": "Sunbury",
            "state": "OH",
            "postal_code": "430748011",
            "country_code": "US",
            "telephone_number": "740-625-5326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATHRYN",
        "middle_name": "N",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-20",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "APRN.CNP.10370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3047876",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.palmercpnp.p26@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "10 Woodlake Trl Ste C",
            "city": "Mount Vernon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430509573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

Verify at the official NPI Registry.