Jessica Thanh Pham

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

32359 Wildflower TRL
Spanish Fort, AL 36527-8768

Phone

(256) 702-7185

NPI assigned

Mar 19, 2022

Last updated

Mar 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jpham581022@direct.shands.ufl.edu

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647648000000",
    "number": "1609525559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32359 WILDFLOWER TRL",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278768",
            "telephone_number": "256-702-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32359 WILDFLOWER TRL",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365278768",
            "telephone_number": "256-702-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JESSICA",
        "middle_name": "THANH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Monica J Peak, ALC, NCC
• Jourdan E. Pendley, PHARM.D.
• Ashley Lauren Penn, CRNP
• PFCC, LLC
• Virginia Pilcher, PHARMD
• Amber Pratt, OT
• Presbyterian Retirement Corporation, Inc. (Primary Care Services at Westminster Village)
• Presbyterian Retirement Corporation, Inc. (ACTS Home Care - AL)
• Prevmed Alabama, PC

• Student in an Organized Health Care Education/Training Program in Spanish Fort, AL
• Providers in Spanish Fort, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.