Individual provider Active NPI

Virginia Pham, RN, EAMP

  • Acupuncturist
  • Spokane, WA
National Provider Identifier
1083917157
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
TP60198313 Issued in WA
Practice address
2204 E 29TH Ave Ste 208
Spokane, WA 99203-3961
Phone
(509) 294-4907
Fax
(509) 534-2075
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X TP60198313 WA Primary

Addresses

Primary practice location

2204 E 29TH Ave Ste 208
Spokane, WA 99203-3961

Mailing address

3303 S Lloyd LN
Spokane, WA 99223-7056
Phone (509) 294-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
TP60198313WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Whole Health Center Acupuncturist Current Accepting new patients

Locations

2204 E 29th Ave
Ste 208
Spokane, WA 99203
Phone (509) 294-4907

906 S Cowley St
Spokane, WA 99202
Phone (509) 228-8710

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1083917157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 S LLOYD LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237056",
            "telephone_number": "509-294-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E 29TH AVE STE 208",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992033961",
            "telephone_number": "509-294-4907",
            "fax_number": "509-534-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "VIRGINIA",
        "credential": "RN, EAMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "TP60198313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.