Individual provider Active NPI

Kateline Pham, FNP-C

  • Nurse Practitioner
  • Richmond, TX
National Provider Identifier
1184048498
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
744999 Issued in TX
Practice address
400 Austin St
Richmond, TX 77469-4406
Phone
(281) 342-4530
NPI assigned
Feb 6, 2014
Last updated
Nov 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 744999 TX Primary
Adult Health Nurse Practitioner 363LA2200X 744999 TX
Family Nurse Practitioner 363LF0000X 744999 TX
Primary Care Nurse Practitioner 363LP2300X 744999 TX

Addresses

Primary practice location

400 Austin St
Richmond, TX 77469-4406

Mailing address

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

Other practice location 1

9130 Hwy 6 South
Houston, TX 77083
Phone (281) 564-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160321002178 TX Practitioner - Nurse Practitioner 0648599423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
744999TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc CurrentSince Apr 24, 2017 Accepting new patients
Fort Bend Family Health Center, Inc. CurrentSince Apr 24, 2017 Accepting new patients
Fort Bend Family Health Center, Inc Past Accepting new patients

Locations

307 Texas Pkwy
Missouri City, TX 77489
Phone (281) 342-4530

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: kateline.pham@accesshealth.directbygreenway.com
  • Direct secure messaging: kateline.pham@direct.accesshealth.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1184048498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9130 Hwy 6 South",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77083",
            "country_code": "US",
            "telephone_number": "281-564-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KATELINE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "744999",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "744999",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "744999",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "744999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.