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AMANDA PHAM
NPI 1982545133
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 02, 2026PECOS Enrolled
853 JEFFERSON AVE STE E102, MEMPHIS, TN 38103(901) 448-2531 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amanda Pham NPPES

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

AMANDA PHAM (NPI 1982545133) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982545133
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA PHAM
Location Address853 JEFFERSON AVE STE E102Memphis, TN 38103-2804
Mailing Address853 Jefferson Ave Ste E102Memphis, TN 38103-2804 · (901) 448-2531
Phone(901) 448-2531
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1982545133 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.
853 JEFFERSON AVE STE E102, Memphis, TN 38103
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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)

Amanda 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.

Other Providers at the Same Location NPPES 4

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

FANG LI
Student in an Organized Health Care Education/Training Program
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 448-2531
DR. HUNTER REED HARRISON MD
Student in an Organized Health Care Education/Training Program
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 604-1275
DR. LAURA CLAIRE KEBERT HIMEL MD, MBA
Obstetrics & Gynecology
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 448-4795
SEQUITHA LEFLORE-THOMAS FNP-C
Nurse Practitioner (Family)
853 JEFFERSON AVE STE E102
MEMPHIS, TN 38103
Shelby County (901) 448-8892

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 Amanda Pham's NPI number?

The NPI number for Amanda Pham is 1982545133. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Amanda Pham located?

Amanda Pham practices at 853 Jefferson Ave Ste E102, Memphis, TN 38103. The listed phone number is (901) 448-2531.

What is Amanda 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 Amanda Pham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Amanda Pham was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.