Individual provider Active NPI

Rebekah Kathleen Palmer, ATC

  • Athletic Trainer
  • Tucson, AZ
National Provider Identifier
1982030284
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
1098 Issued in AZ
Practice address
3725 N Flowing Wells Rd
Tucson, AZ 85705-3022
Phone
(605) 360-8913
Fax
(520) 690-2330
NPI assigned
Sep 18, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1098 AZ Primary

Addresses

Primary practice location

3725 N Flowing Wells Rd
Tucson, AZ 85705-3022

Mailing address

3725 N Flowing Wells Rd
Tucson, AZ 85705-3022
Phone (605) 360-8913

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1098AZMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379462400000",
    "number": "1982030284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 N FLOWING WELLS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053022",
            "telephone_number": "605-360-8913",
            "fax_number": "520-690-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 N FLOWING WELLS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053022",
            "telephone_number": "605-360-8913",
            "fax_number": "520-690-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "REBEKAH",
        "middle_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "AZ",
            "license": "1098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.

Verify at the official NPI Registry.