Organization Active NPI

Tran Pham Family Practice LLC

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1225913304
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TRAN PHAM FAMILY PRACTICE LLC
Practice address
85 Whisperwood Blvd Ste 1a
Slidell, LA 70458-1136
Phone
(714) 907-7434
Fax
(714) 907-7434
NPI assigned
Aug 8, 2025
Last updated
Oct 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Authorized official

Name
Tran Pham, DNP, FNP-CNPI 1164014981
Title
Family Nurse Practitioner
Phone
(714) 907-7434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

85 Whisperwood Blvd Ste 1a
Slidell, LA 70458-1136

Mailing address

4479 Marais River Dr
Slidell, LA 70461-4607
Phone (714) 907-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919001845 LA Part B Supplier - Clinic/Group Practice 7911401195 Receives reassigned benefits from 1 practitioner
Practice locations: Slidell, LA

National Provider Directory

National Provider Directory

Locations

1009 Carnation St
Ste C
Slidell, LA 70460
Phone (714) 907-7434

85 Whisperwood Blvd
Ste 1A
Slidell, LA 70458
Phone (714) 907-7434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1225913304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4479 MARAIS RIVER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614607",
            "telephone_number": "714-907-7434",
            "fax_number": "714-907-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 WHISPERWOOD BLVD STE 1A",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704581136",
            "telephone_number": "714-907-7434",
            "fax_number": "714-907-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAN PHAM FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRAN",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "714-907-7434",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.