MRS. TRICIA LYNN PALMER APRN NPI 1649788514

NPI Information

NPI: 1649788514
Provider Name: MRS. TRICIA LYNN PALMER, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
645 S ROY WILKINS AVE STE 200
LOUISVILLE, KY
ZIP 40203
Phone: (502) 561-0520
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MRS. Tricia Lynn Palmer, APRN is a family nurse practitioner in Louisville, KY. MRS. Tricia Lynn Palmer, APRN NPI is 1649788514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

645 S ROY WILKINS AVE STE 200
LOUISVILLE, KY
ZIP 40203-072
Phone: (502) 561-0520
Fax: (502) 561-0521

The NPI 1649788514 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/13/2018 and was last updated on 3/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	3012431	KENTUCKY	No
2	363LF0000X	Nurse Practitioner	Family	4704372441	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100539660	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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