Active NPI
Kim Seng Pham, CRNA
- Certified Registered Nurse Anesthetist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11007356
- Practice address
- 3100 E Fletcher Ave
Tampa, FL 33613-4613 - Phone
- (813) 971-6000
- NPI assigned
- Jun 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11007356 | FL | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 129981 | FL |
Addresses
Primary practice location
3100 E Fletcher Ave
Tampa, FL 33613-4613
Mailing address
4923 Pennsbury Dr
Tampa, FL 33624-6811
Phone (813) 895-4556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43309 US Hwy 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111
9330 State Rd
Suite 54
Trinity, FL 34655-1808
Phone (727) 834-4000
Hospital & facility affiliations
- HCA Florida South Tampa Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007356 | FL | MD | Certified Registered Nurse Anesthetist |
| 129981 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North Pinellas Anesthesia Associates, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| St Lukes Cataract & Laser Institute | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ams National LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northwood Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Sunshine State Anesthesia Partners LLC | Current | Accepting new patients | |
| St . Lukes at the Villages, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
25232 State Road 54
Ste 1
Lutz, FL 33559
Phone (727) 943-3111
6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
5329 Primrose Lake Cir
Tampa, FL 33647
Phone (727) 372-4300
3100 E Fletcher Ave
Tampa, FL 33613
Phone (813) 615-7200
10740 Palm River Rd
Ste 200
Tampa, FL 33619
Phone (813) 660-6000
13330 Usf Laurel Dr
Fl 2
Tampa, FL 33612
Phone (813) 396-2350
4500 E Fletcher Ave
Tampa, FL 33613
Phone (813) 870-0401
43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020
1395 S Pinellas Ave
Tarpon Springs, FL 34689
Phone (727) 942-5000
1050 Old Camp Rd
Ste 230
The Villages, FL 32162
Phone (352) 350-8484
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
9332 State Road 54
Ste 400
Trinity, FL 34655
Phone (727) 372-4779
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054
4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000
6733 Gall Blvd
Zephyrhills, FL 33542
Phone (813) 783-8242
Interoperability endpoints
- kim.pham.p1@direct.stlukeseye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 11
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.
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1154316628
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1437757127
-
- Anesthesiology Physician
- Pensacola, FL
- NPI 1316330830
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1104879816
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Venice, FL
- NPI 1811569197
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Pain Medicine (Anesthesiology) Physician
- Riverview, FL
- NPI 1497082655
-
- Anesthesiology Physician
- Port Charlotte, FL
- NPI 1699347971
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Trinity, FL
- NPI 1780256073
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- The Villages, FL
- NPI 1801144217
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1871935072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1144844481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4923 PENNSBURY DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336246811",
"telephone_number": "813-895-4556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E FLETCHER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134613",
"telephone_number": "813-971-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "KIM",
"middle_name": "SENG",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-02",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11007356",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "129981",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.