Vivian Grace Parham, MS RN AGPCNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

34016 Issued in TN

Practice address

3475 Brainerd Rd Ste B
Chattanooga, TN 37411-3550

Phone

(423) 800-8337

Fax

(423) 760-8257

NPI assigned

Sep 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

New York University School of Medicine, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Registered Nurse

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.

• Bernard Parham MD PLLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1568971166
  Medicare reassignment

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1881113652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 BRAINERD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113550",
            "telephone_number": "423-800-8337",
            "fax_number": "423-760-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 BRAINERD RD STE B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374113550",
            "telephone_number": "423-800-8337",
            "fax_number": "423-760-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "VIVIAN",
        "middle_name": "GRACE",
        "credential": "MS RN AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-13",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "308301",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "34016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Pankiw, MD
• Alexander H Panter
• Paramount Podiatry PLLC
• Pranvi Parekh, PHARM D
• Bernard L Parham Sr., MD
• Anuj A Parikh, M.D.
• Stacy Lynn Park, FNP
• Ann Graham Parker, PHD
• Brandy N Parker, P.T.
• Caitlyn M Parker

• Adult Health Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.

Verify at the official NPI Registry.