Provider Demographics
NPI:1972562254
Name:PALMIERI, ANA KATARINA (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:KATARINA
Last Name:PALMIERI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9616
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-9616
Mailing Address - Country:US
Mailing Address - Phone:901-850-1150
Mailing Address - Fax:901-850-1102
Practice Address - Street 1:472 W POPLAR AVE
Practice Address - Street 2:200
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-2538
Practice Address - Country:US
Practice Address - Phone:901-850-1150
Practice Address - Fax:901-850-1102
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1717225100000X
TN29991207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
200046147OtherRAILROAD MEDICARE
TN3839531Medicaid
612005500OtherWORKERS COMP
7130040OtherAETNA HMO
TN200046147OtherRAILROAD MEDICARE
TN4049550OtherBCBST
MS00122384Medicaid
TN411370497AOtherADVANCED HEALTH SYSTEMS
8381196OtherCIGNA
7130040OtherAETNA HMO
MS00122384Medicaid