Active NPI
Diana Pham, N.P.
- Adult Health Nurse Practitioner
- Webster, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP127931
- Practice address
- 1015 W. Medical Center Blvd. #1300
Webster, TX 77598 - Phone
- (409) 908-9345
- NPI assigned
- Apr 29, 2015
- Last updated
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP127931 | TX | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | AP127931 | TX |
Addresses
Primary practice location
1015 W. Medical Center Blvd. #1300
Webster, TX 77598
Mailing address
1015 W. Medical Center Blvd. #1300
Webster, TX 77598
Other names 1
- Diana Phi
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1455 FM 646 Rd W
Suite 202
Dickinson, TX 77539-2039
Phone (832) 738-1710
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP127931 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Gastroenterology Associates, PA | Current | Accepting new patients | |
| All Care Team PLLC | Current | Accepting new patients | |
| Guidry Maria T MD PA | Current | Accepting new patients |
Locations
1455 FM 646 Rd W
Ste 202
Texas City, TX 77539
Phone (832) 738-1710
1015 W Medical Center Blvd
Ste 1300
Webster, TX 77598
Phone (281) 557-2527
350 Blossom St
Webster, TX 77598
Phone (281) 316-7800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HIJIBD
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Dickinson, TX
- NPI 1265106892
-
- Internal Medicine Physician
- Dickinson, TX
- NPI 1730360884
-
- Gastroenterology Physician
- Webster, TX
- NPI 1043312515
-
- Family Medicine Physician
- Webster, TX
- NPI 1316267834
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Houston Healthcare Clear Lake
- General Acute Care Hospital
- Webster, TX
- NPI 1063466035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1346627312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 W. MEDICAL CENTER BLVD. #1300",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 W. MEDICAL CENTER BLVD. #1300",
"city": "WEBSTER",
"state": "TX",
"postal_code": "77598",
"telephone_number": "409-908-9345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAM",
"first_name": "DIANA",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-29",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP127931",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP127931",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "PHI",
"credential": "N.P.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Webster, TX
- Bart Edward Petrini, MD
- Lorena Rebeca Pettiette
- Tinesha Shanta Pettiway
- Adrianna Symone Pfeifer, DOULA
- PG Daley & CR Boone PTR Clear Lake Physical Therapy (Clear Lake Physical Therapy)
- Hoang Pham, MD
- Sarah Pham
- Zoe Ly Pham, OD
- Kevin Bui Phan
- PHCC-the Pointe Rehabilitation and Health Care Center, LLC (The Pointe Rehabilitation and Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.