KIM AN PHAM NPI 1700571395

NPI Information

  • NPI: 1700571395
  • Provider Name: KIM AN PHAM
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 106 BOSTON AVE STE 100
    ALTAMONTE SPRINGS, FL
    ZIP 32701
  • Phone: (800) 827-7546

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NPI Details

Kim An Pham is a family nurse practitioner in Altamonte Springs, FL with 3 years of experience. Kim An Pham NPI is 1700571395. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

106 BOSTON AVE STE 100
ALTAMONTE SPRINGS, FL
ZIP 32701-712
Phone: (800) 827-7546
Fax: (407) 499-3665

The NPI 1700571395 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2023 and was last updated on 7/15/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse9535823FLORIDANo
2364SF0001XClinical Nurse SpecialistFamily Health5018197NORTH CAROLINANo
3363LF0000XNurse PractitionerFamily5018197NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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