BRETT PALMER (NPI# 1932633419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932633419 |
| Entity Type | Individual |
| Full Name | BRETT PALMER |
| Credential | PA-C |
| Practice Address |
80 Sharron Ave Plattsburgh NY 12901-4700 |
| Mailing Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Practice Telephone | 5185611447 |
| Mailing Telephone | 5185610130 |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2020-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01420800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Beekman St, Plattsburgh, NY 129011438 | 5185627371 | |
| 80 Sharron Ave, Plattsburgh, NY 129014700 | 5185611447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629698550 | Brett Houston Palmer | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Chester, PA 19013-3995 | 2020-04-21 |
| 1679908677 | Brett Douglas Palmer | Physical Therapist | 1950 Pottery Ave Ste 110, Port Orchard, WA 98366-2501 | 2013-09-09 |
| Street Address |
80 SHARRON AVE |
| City | PLATTSBURGH |
| State | NY |
| Zip Code | 12901-4700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346296720 | Conifer Park, Inc. | Clinic/Center | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2006-05-26 |
| 1619577533 | Sydney Sturgen | Registered Nurse | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-10-29 |
| 1649881053 | Nicole Bordeau | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-08-11 |
| 1003439001 | Katrina Lopez | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-05-26 |
| 1164051066 | James Perales | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2020-04-03 |
| 1538705678 | Carlee Agoney | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-25 |
| 1982249173 | Marlene Holmes | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-11-12 |
| 1437703162 | Lee Ann Malseptic | Registered Nurse | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-07-31 |
| 1407409592 | Chad Michael Rollings | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-07-18 |
| 1033778139 | Patrick Mccormick | Counselor | 80 Sharron Ave, Plattsburgh, NY 12901-4700 | 2019-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284721 | Get Movin Inc | Non-emergency Medical Transport (VAN) | 316 Cornelia St, 21a, Plattsburgh, NY 12901 | 2018-11-26 |
| 1528536141 | Inmaculada Ibanez-casas | Technician | Sibley Hall, 113 Rugar Street, Plattsburgh, NY 12901 | 2018-11-13 |
| 1760950372 | Martha R Wasserbauer | Dietetic Technician, Registered | Mountain View Pediatrics, 18 Feathers Drive, Plattsburgh, NY 12901 | 2018-11-13 |
| 1568958411 | Joel Cherian | Student in an Organized Health Care Education/Training Program | 159 Margaret St Ste 100, Plattsburgh, NY 12901 | 2018-07-03 |
| 1396284477 | Florence Reynaud | Acupuncturist | 135 S. Peru Street, Adirondack Integrative Wellness Center, Plattsburgh, NY 12901 | 2017-02-22 |
| 1124565783 | Mytchel Hector | Registered Nurse | 43 Hamilton Street Apt #202, Plattsburgh, NY 12901 | 2017-01-20 |
| 1780136697 | Michael Bruso | Psychologist | 5436 Peru St. Apt. 5, Plattsburgh, NY 12901 | 2016-10-26 |
| 1902357536 | Ashley Patricia Cota | Nurse Practitioner | 214 Cornelia St., Plattsburgh, NY 12901 | 2016-10-19 |
| 1255703310 | Kenneth Wayne Ackley | Licensed Practical Nurse | 16 Ampersand Drive, Plattsbugh, NY 12901 | 2015-10-28 |
| 1275949448 | Shanni Lee Hicks | Specialist | 63 Arnold Rd, Plattsburgh, NY 12901 | 2014-07-08 |
| Find all providers in zip 12901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154414100 | Delina Fajardo | Physician Assistant | 1942 Military Turnpike, Plattsburgh, NY 12901 | 2006-10-02 |
| 1720008147 | Tricia D Miller | Physician Assistant | 79 Hammond Ln, Suite 2, Plattsburgh, NY 12901-2008 | 2006-07-20 |
| 1538157722 | Danielle Baker | Physician Assistant | 151 Bridge St, Plattsburgh, NY 12901-2919 | 2005-10-11 |
| 1609487305 | Taylor Knarr | Physician Assistant | 8 Broad St, Plattsburgh, NY 12901-3420 | 2020-08-14 |
| 1477015519 | Brittany Marshall | Physician Assistant | 75 Beekman St, Plattsburgh, NY 12901-1427 | 2019-04-05 |
| 1851869291 | Mackenzie B Walker | Physician Assistant | 25 Degrandpre Way, Plattsburgh, NY 12901-6449 | 2018-11-03 |
| 1922581966 | Audrey Hannah Crocker | Physician Assistant | 75 Beekman St, Plattsburgh, NY 12901-1438 | 2018-09-14 |
| 1841783628 | Rebecca Mary Daggett | Physician Assistant | 75 Beekman St, Plattsburgh, NY 12901 | 2018-06-07 |
| 1629566468 | Anna Hilton | Physician Assistant | 214 Cornelia St Ste 203, Plattsburgh, NY 12901 | 2018-04-26 |
| 1225549587 | Mary Elizabeth Prybylowski | Physician Assistant | 66 Brinkerhoff St, Plattsburgh, NY 12901-2919 | 2017-10-13 |
| Find all providers in PLATTSBURGH | ||||
| City | PLATTSBURGH |
| Zip Code | 12901 |
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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.