Angela R Palmer, FAMILY PEER SUPPORT

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

FP22001 Issued in IA

Practice address

118 N 2ND Ave
Sheldon, IA 51201-1039

Phone

(712) 363-7833

NPI assigned

Dec 1, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
  • NPI 1356198675
  NPD (past)
• Northwest Iowa Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spencer, IA
  • NPI 1689669459
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1972213833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 S 9TH AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512012233",
            "telephone_number": "712-363-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N 2ND AVE",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011039",
            "telephone_number": "712-363-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ANGELA",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "FAMILY PEER SUPPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IA",
            "license": "FP22001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaleb Myhrwold
• Kimberly Dawn Niemeyer, CRNA
• Brandon Louis Nigg, PHARMD, RPH
• Hyacinth Ocampo
• Christopher Andrew Otto, P.T.
• Kelsey Peterson, OTD
• Chad Allan Petitt, PT
• Kaitlin Pettus, APRN-FNP-C
• Justin L Phelan, PT, DPT
• Aimee Plasier, CRNA

• Peer Specialist in Sheldon, IA
• Providers in Sheldon, IA by specialty
• Peer Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.