Doan Trinh Thuy Pham, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F11220958 Issued in VA

Practice address

12027 Cheviot Dr
Herndon, VA 20170-2702

Phone

(703) 725-0268

NPI assigned

Nov 30, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Consonant Healing Medical Associates

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1588122535

  DC, Nurse Practitioner, VA

  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133

  DC

  Medicare reassignment NPD
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1265950372
  NPD (past)
• Dispatchhealth NV Wagner PC

  • Emergency Medicine Physician
  • Las Vegas, NV
  • NPI 1023538790
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1053021139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12027 CHEVIOT DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702702",
            "telephone_number": "703-725-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12027 CHEVIOT DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702702",
            "telephone_number": "703-725-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "DOAN TRINH",
        "middle_name": "THUY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "F11220958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Perlmutter, M.D.
• Simone Perry
• Kristina Pestana, CNS, LDN
• Lisa Tam Petruzzi, ATC, VATL
• Brian Andrew Petz, ATC
• Jennifer Hope Pham
• Katherine J. Phillips, L.C. S.W.
• Virginia Gardineer Phinney
• Andrew-Thanh H Pho, DPT
• Physical Therapy Connection of McLean LP

• Nurse Practitioner in Herndon, VA
• Providers in Herndon, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.