SUSAN PHAM NP
NPI 1407418296
Nurse Practitioner - Family in Pensacola, FL

Q: What is Susan Pham's NPI number?

The NPI number for Susan Pham is 1407418296. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Susan Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Pham was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 02, 2019

875 E NINE MILE RD STE 6, PENSACOLA, FL 32514(850) 542-7413 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 19, 2025, Mar 10, 2021, Jul 2, 2019 (3 updates tracked since 2019).

On this page

About Susan Pham Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN PHAM NP (NPI 1407418296) is an individual family provider in Pensacola, Florida, licensed in Florida (11002867) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1407418296

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN PHAMCredential: NP

Location Address875 E NINE MILE RD STE 6Pensacola, FL 32514-1708

Mailing Address875 E Nine Mile Rd Ste 6Pensacola, FL 32514-1708 · (850) 542-7413

Phone(850) 542-7413

Sole ProprietorNo

Enumeration DateJuly 2, 2019

Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1407418296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11002867

Also ListedNurse PractitionerTaxonomy 363L00000X · License 11002867 (FL)

875 E NINE MILE RD STE 6, Pensacola, FL 32514

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REDEFYNE- SKIN & BODY REVIVAL

Clinic/Center

875 E NINE MILE RD STE 6
PENSACOLA, FL 32514

Escambia County (850) 542-7413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Pham's NPI number?

The NPI number for Susan Pham is 1407418296. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Susan Pham located?

Susan Pham practices at 875 E Nine Mile Rd Ste 6, Pensacola, FL 32514. The listed phone number is (850) 542-7413.

What is Susan Pham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Susan Pham was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.