Active NPI
Heidi Michelle Pham, DNP, ARNP, CNM
- Advanced Practice Midwife
- Atlanta, GA
National Provider Identifier
1306378633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN267246
- Practice address
- 550 Peachtree St NE
Suite 1110
Atlanta, GA 30308-2212 - Phone
- (404) 223-9306
- Fax
- (404) 223-9307
- NPI assigned
- Mar 28, 2017
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | AP60654131 | WA | |
| Advanced Practice Midwife | 367A00000X | RN267246 | GA | Primary |
Addresses
Primary practice location
550 Peachtree St NE
Suite 1110
Atlanta, GA 30308-2212
Mailing address
550 Peachtree St NE
Suite 1110
Atlanta, GA 30308-2212
Phone (404) 223-9306
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN267246 | GA | MD | Advanced Practice Midwife |
| AP60654131 | WA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary E Bachko Arnp, PLLC | Advanced Practice Midwife | Past | Accepting new patients |
| Mary E Bachko, Arnp, PLLC | Past | Accepting new patients | |
| Mary E Bachko | Advanced Practice Midwife | Past | Accepting new patients |
Interoperability endpoints
- heidi.pham.1@11661.direct.athenahealth.com
- https://api.platform.athenahealth.com/11661/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Chewelah, WA
- NPI 1225995145
Advanced Practice Midwife
-
- Family Nurse Practitioner
- Spokane Valley, WA
- NPI 1174905376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493337600000",
"number": "1306378633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-223-9306",
"fax_number": "404-223-9307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PEACHTREE ST NE",
"address_2": "SUITE 1110",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082212",
"telephone_number": "404-223-9306",
"fax_number": "404-223-9307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "HEIDI",
"middle_name": "MICHELLE",
"credential": "DNP, ARNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP60654131",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN267246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.