CAROL JOAN PALM (NPI# 1023168002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023168002 |
| Entity Type | Individual |
| Full Name | CAROL JOAN PALM |
| Other Name | CAROL JOAN SMITH |
| Credential | RN |
| Practice Address |
2515 Broadway St Boulder CO 80304-4110 |
| Mailing Address |
1019 Herman Pl Longmont CO 80501-1802 |
| Practice Telephone | 3032450894 |
| Practice Fax Number | 3032450916 |
| Mailing Telephone | 3037723084 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
84137 | CO | Nursing Service Providers |
| Street Address |
2515 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215536198 | Boulder Body Balance Acupuncture Clinic, LLC | Massage Therapist | 2515 Broadway St, Boulder, CO 80304-4110 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750895306 | Michelle Sanay | Registered Nurse | 8012 Fox Ridge Ct, Boulder, CO 80301-5005 | 2017-11-17 |
| 1174076848 | Ryan Lowell Phelps | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2016-07-29 |
| 1083063515 | Kari Stemm-wolf | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2016-06-06 |
| 1669838124 | Laura Dunnigan | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2016-01-13 |
| 1013399971 | William Michael Carestio | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2015-06-26 |
| 1992137566 | Christina M Henriksen | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2013-08-06 |
| 1841512415 | Wendy Ann Lessman | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2010-02-23 |
| 1710106760 | Kerry Faye Patterson | Registered Nurse | 1333 Iris Ave, Mental Health Center of Boulder Cnty, Boulder, CO 80304-2226 | 2007-04-25 |
| 1083746275 | Carla May Ogden | Registered Nurse | 2818 13th St, Boulder, CO 80304-3518 | 2007-03-12 |
| 1629107438 | Louise Ann Macgregor | Registered Nurse | 1333 Iris Ave, Boulder, CO 80304-2226 | 2007-03-05 |
| Find all providers in BOULDER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.