Individual provider Active NPI

Heidi Michelle Pham, DNP, ARNP, CNM

  • Advanced Practice Midwife
  • Atlanta, GA
National Provider Identifier
1306378633
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN267246 Issued in GA
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

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN267246GAMDAdvanced Practice Midwife
AP60654131WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Oct 23, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heidi.pham.1@11661.direct.athenahealth.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.