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JESSICA THANH PHAM
NPI 1609525559
Student in an Organized Health Care Education/Training Program in Spanish Fort, AL

Active since March 19, 2022PECOS Enrolled
32359 WILDFLOWER TRL, SPANISH FORT, AL 36527(256) 702-7185 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessica Thanh Pham NPPES

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

JESSICA THANH PHAM (NPI 1609525559) is an individual student in an organized health care education/training program in Spanish Fort, Alabama and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609525559
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA THANH PHAM
Location Address32359 WILDFLOWER TRLSpanish Fort, AL 36527-8768
Mailing Address32359 Wildflower TrlSpanish Fort, AL 36527-8768 · (256) 702-7185
Phone(256) 702-7185
Sole ProprietorNo
Enumeration DateMarch 19, 2022
NPPES CertifiedMarch 19, 2022
✔ NPI 1609525559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
32359 WILDFLOWER TRL, Spanish Fort, AL 36527
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Thanh Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Jessica Pham's NPI number?

The NPI number for Jessica Pham is 1609525559. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Where is Jessica Pham located?

Jessica Pham practices at 32359 Wildflower Trl, Spanish Fort, AL 36527. The listed phone number is (256) 702-7185.

What is Jessica Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Pham enrolled in Medicare?

Yes. Jessica Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Pham was last updated on March 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.