Individual provider Active NPI

Kim Seng Pham, CRNA

  • Certified Registered Nurse Anesthetist
  • Tampa, FL
National Provider Identifier
1144844481
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
11007356 Issued in FL
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

Updated by the provider on Dec 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20200813003682 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3779909254 Reassigns benefits to 6 organizations

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
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians
Sunshine State Anesthesia Partners LLCGroup PAC ID 8123434792, 429 clinicians

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 Hospital, Tampa, FL, CCN 100206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11007356FLMDCertified Registered Nurse Anesthetist
129981FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
North Pinellas Anesthesia Associates, PA Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince May 1, 2023 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC Current Accepting new patients
St Lukes Cataract & Laser Institute Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Ams National LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2024 Accepting new patients
Northwood Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Gulf-to-Bay Anesthesiology Associates LLC CurrentSince May 1, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Mar 30, 2024 Accepting new patients
St . Lukes at the Villages, PA Nurse Anesthetist, Certified Registered PastSince Mar 31, 2014 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

  • Direct secure messaging: kim.pham.p1@direct.stlukeseye.nextgenshare.com
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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.

Verify at the official NPI Registry.