MR. MANH DUC PHAM (NPI# 1518447473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518447473 |
| Entity Type | Individual |
| Full Name | MR. MANH DUC PHAM |
| Credential | ARNP |
| Practice Address |
1201 Pacific Ave Ste 1950 Tacoma WA 98402-4301 |
| Mailing Address |
102 S 104th St Seattle WA 98168-1337 |
| Practice Telephone | 2533008453 |
| Mailing Telephone | 4257490635 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60868256 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831445113 | Manh Van Pham | Obstetrics & Gynecology | 1300 Hospital Loop, Belcourt, ND 58316 | 2012-07-24 |
| 1275854507 | Manh Duc Pham | Family Medicine | 7551 Madison Ave, Citrus Heights, CA 95610-7449 | 2010-06-22 |
| Street Address |
1201 PACIFIC AVE STE 1950 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720344617 | Don Nguyen | Internal Medicine | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402 | 2012-04-05 |
| 1831717982 | Sara Elizabeth-berry Gopsill | Family Medicine | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402-4338 | 2020-07-06 |
| 1932742442 | Adenike A Oke | Nurse Practitioner | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402-4338 | 2019-10-28 |
| 1194377705 | Sarah Phillips | Nurse Practitioner | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402-4301 | 2019-07-13 |
| 1457827032 | Daniel Thomas Borkert Jr. | Nurse Practitioner | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402-4338 | 2018-10-22 |
| 1164769642 | Kendra Lin Yale | Physician Assistant | 1201 Pacific Ave Ste 1950, Tacoma, WA 98402-4338 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1033755699 | Maryam Roya Jalili | Nurse Practitioner | 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 | 2019-11-19 |
| 1003467127 | Salome Odja Dockendorf | Nurse Practitioner | 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 | 2019-09-20 |
| 1962064469 | Latoya Tia Marie Veliz | Nurse Practitioner | 2621 170th Street Ct E, Tacoma, WA 98445-7328 | 2019-07-03 |
| 1033629571 | Matthew Alexander Watson | Nurse Practitioner | 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 | 2017-10-11 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1376081836 | Baby Nellie Tamayo | Nurse Practitioner | 10021 12th Ave S, Tacoma, WA 98444-4106 | 2017-02-05 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1508273590 | Mallory Louise Pursley | Nurse Practitioner | 1608 South J Street, 3rd Floor, Tacoma, WA 98405 | 2014-07-22 |
| 1932539137 | Nandi Brumidge | Nurse Practitioner | 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 | 2013-11-25 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.