JORDAN PALMER – Registered Dietitian, NPI 1205489028

Registered Dietitian

JORDAN PALMER is a healthcare provider. based in Dallas, Texas. specializing in Registered Dietitian. The NPI Number for JORDAN PALMER is 1205489028

Main info

Female

Sole Proprietor

16 Years Of Experience

Accepts Medicare Assignment

Name

JORDAN PALMER

NPI

1205489028

Phone

(940) 435-5601

Address

6358 LAKESHORE DR

Enumeration Date

21 July 2019

Last Update Date

21 July 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9403831240

Graduation Year

2010 (16 years ago)

PAC ID

0840528154

Group Practice PAC ID

3870755564

Professional Enrollment ID

I20190824000529

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience17

Completeness75

Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for JORDAN PALMER

6358, Lakeshore Drive, Dallas, TX, Dallas, Dallas County, Texas, 75214, United States
DALLAS, TX 752143612
Phone: (940) 435-5601
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75214)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3870755564View full group profile

Name	Specialty	State
MR. JOSEPH JAMIE IBARRA (MCN, RDN, LD)	Registered Dietitian Or Nutrition Professional	TX
MRS. KAMELA LYNIECE RATCLIFF (MS, RD/LD)	-	OK
OMAR IHSAN SHISHAKLY	-	TX
MRS. MARY ANN SHANNON (RD. LD.)	-	IL
MS. LISA BLACKMAN (M.S., R.D., L.D)	-	TX
MRS. SARAH BETH DAVIS (R.D.)	-	TX
MARLENE ROSE DAVIS (RD/LD)	-	TX
CHARLES JOHN SCHUEPFER	-	TX
CARLA D DELPHEN	Registered Dietitian Or Nutrition Professional	TX
RHIANNON KANAY WELCH (RD/LD)	Registered Dietitian Or Nutrition Professional	OK