Active NPI
Jenelle Ann Palmer, O.D.
- Optometrist
- Sacramento, CA
National Provider Identifier
1992019954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13968
- Practice address
- 1689 Arden Way
Sacramento, CA 95815-4030 - Phone
- (916) 922-4373
- NPI assigned
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 13968 | CA | Primary |
Addresses
Primary practice location
1689 Arden Way
Sacramento, CA 95815-4030
Mailing address
1005 Collins Dr
Auburn, CA 95603-9768
Phone (812) 345-7495
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1992019954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 COLLINS DR",
"city": "AUBURN",
"state": "CA",
"postal_code": "956039768",
"telephone_number": "812-345-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1689 ARDEN WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958154030",
"telephone_number": "916-922-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "JENELLE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "13968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.