Individual provider Active NPI

Diana Pham, N.P.

  • Adult Health Nurse Practitioner
  • Webster, TX
National Provider Identifier
1346627312
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP127931 Issued in TX
Practice address
1015 W. Medical Center Blvd. #1300
Webster, TX 77598
Phone
(409) 908-9345
NPI assigned
Apr 29, 2015
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20151020002037 TX Practitioner - Nurse Practitioner 1850600552 Reassigns benefits to 4 organizations

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
Nehme Alkarra MD PAGroup PAC ID 0446207948, 5 clinicians
All Care Team PLLCGroup PAC ID 6800286857, 5 clinicians

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

LicenseStateTypeSpecialty
AP127931TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Gastroenterology Associates, PA CurrentSince Aug 8, 2019 Accepting new patients
All Care Team PLLC CurrentSince Jan 1, 2023 Accepting new patients
Guidry Maria T MD PA CurrentSince Nov 1, 2020 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Sources for this page

Verify at the official NPI Registry.