CANDACE PALMER (NPI# 1386265965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386265965 |
| Entity Type | Individual |
| Full Name | CANDACE PALMER |
| Credential | RN |
| Practice Address |
2405 Bowe Ln Jefferson City MO 65109-9116 |
| Practice Telephone | 5733004449 |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265784219 | Candace Palmer | Speech-Language Pathologist | 1511 Berry St, Old Hickory, TN 37138-3040 | 2012-10-15 |
| Street Address |
2405 BOWE LN |
| City | JEFFERSON CITY |
| State | MO |
| Zip Code | 65109-9116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449321 | Kara D Roderick | Physical Therapist | 1115 Fairgrounds Road, Jefferson City, MO 65109 | 2018-08-29 |
| 1851871214 | Integrative Medicine, LLC | Internal Medicine | 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 | 2018-08-15 |
| 1972020394 | Rehab Care Group East, LLC | Clinic/Center | Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 | 2017-08-25 |
| 1124558986 | Nicholas Rehagen | Specialist/Technologist | 304 Timber Creek Rd, Jefferson City, MO 65109 | 2017-06-14 |
| 1982004214 | Kara Elizabeth Wilbers | Occupational Therapist | 1105 Fairgrounds Rd, Jefferson City, MO 65109 | 2014-08-22 |
| 1942510334 | Loftin Eyecare, LLC | Optometrist | 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 | 2010-10-19 |
| 1306077250 | Paula Hancock Johnson | Social Worker | 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 | 2009-07-27 |
| 1679701296 | Capital Region Medical Center | Family Medicine | 3308 W Edgewood, Suite B, Jefferson City, MO 65109 | 2009-06-23 |
| 1972730141 | Nancy S Stork | Counselor | 204 Metro, Suite B, Jefferson City, MO 65109 | 2009-06-16 |
| 1356522916 | Walk Easy LLC | Durable Medical Equipment & Medical Supplies | 4810 Rainbow Dr., Jefferson City, MO 65109 | 2007-11-23 |
| Find all providers in zip 65109 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629468558 | Jesse R. Kirchhoff | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Jaycee Dr, Suite 108, Jefferson City, MO 65109-1094 | 2015-01-30 |
| 1013334671 | Day Solutions, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2725 Merchants Dr, Suite B, Jefferson City, MO 65109-1174 | 2014-03-20 |
| 1215352273 | Gustave Epple | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1212 Satinwood Dr, Jefferson City, MO 65109-1938 | 2014-02-28 |
| 1477741247 | Daniel Opara | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5306 Scruggs Station Rd, Jefferson City, MO 65109-6437 | 2007-10-05 |
| 1598881542 | Chi and Candy, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2017 William Street, Jefferson City, MO 65109 | 2007-03-21 |
| 1912035981 | Salmons Isl | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2434 Scenic Dr, Jefferson City, MO 65101-3912 | 2007-03-01 |
| 1568505394 | Cole County Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 616 Delaware St, Parkway, Jefferson City, MO 65109-1752 | 2007-02-14 |
| 1801937719 | Cole County Residential Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 343 Eastwood Dr, Jefferson City, MO 65101-5702 | 2007-02-12 |
| 1992846802 | Cole County Residential Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2015b E Mccarty St, Jefferson City, MO 65101-4328 | 2007-02-12 |
| 1750422176 | Cole County Residential Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 614 Delaware St, Jefferson City, MO 65109-1752 | 2007-02-09 |
| Find all providers in JEFFERSON CITY | ||||
| City | JEFFERSON CITY |
| Zip Code | 65109 |
Please comment or provide details below to improve the information on CANDACE PALMER.
| 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.