Mara Pham is a Primary Care Nurse Practitioner practicing in Golden Valley, Minnesota. The National Provider Identifier (NPI) is #1427753730, which was assigned on April 4, 2023, and the registration record was last updated on July 3, 2025. The practitioner's main practice location is at 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544; the contact telephone number is 7632678701. The primary taxonomy of Mara Pham is Primary Care Nurse Practitioner (363LP2300X), with specialization in Primary Care. Mara Pham is licensed to practice in the state of Minnesota (#10066).
| NPI | 1427753730 |
| Entity Type | Individual |
| Provider Name | MARA PHAM |
| Gender | Female |
| Credential | NP |
| Practice Address |
1415 Lilac Dr N Ste 190 Golden Valley MN 55422-4544 |
| Practice Telephone | 7632678701 |
| Mailing Address |
1415 Lilac Dr N Ste 190 Golden Valley MN 55422-4544 |
| Mailing Telephone | 7632678701 |
| Certification Date | 2025-07-03 |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2025-07-03 |
| Is Sole Proprietor | N |
| PAC ID |
3476918723 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | MARA PHAM |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | TWIN CITIES PHYSICIANS PROFESSIONAL CORPORATION |
| Address |
1415 Lilac Dr N Suite 190 Minneapolis MN 55422-4544 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner | Primary Care | 10066 | MN |
| Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
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| Jessica Lynette Joseph | 1425 Yorkland Rd, Columbus, OH 43232-1686 | Primary Care Nurse Practitioner | 2025-09-05 |
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| Street Address |
1415 LILAC DR N STE 190 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55422-4544 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Angela Bradford | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Nurse Practitioner | 2021-04-27 |
| Malinda Lynch · Malinda Larson | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Family Nurse Practitioner | 2019-08-29 |
| Crystal Renee Hilger-Feeser | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Primary Care Nurse Practitioner | 2025-08-14 |
| Cheyenne Freudenrich | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Gerontology Nurse Practitioner | 2025-05-12 |
| Christine Zaki | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Family Medicine Physician | 2025-04-16 |
| Sarah Cox | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Primary Care Nurse Practitioner | 2025-06-25 |
| Alexandra R Riley | 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422-4544 | Family Medicine Physician | 2025-08-19 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jessica Stalberger | 3726 Xenia Ave N, Crystal, MN 55422-1949 | Pharmacy Technician | 2025-08-12 |
| Lynda Wolfe | 3300 Oakdale Ave N, Robbinsdale, MN 55422 | Acute Care Nurse Practitioner | 2025-07-19 |
| Thomas Keller Pettus | 3366 Oakdale Ave No Suite 315, Suite 315, Robbinsdale, MN 55422 | Geriatric Medicine (Internal Medicine) Physician | 2006-11-06 |
| Katherine Rose Clark · Katherine Rose Mattinen | 5109 36th Ave N, Crystal, MN 55422 | Physician Assistant | 2023-12-05 |
| Aniela Peiffer | 4123 W Broadway Ave, Robbinsdale, MN 55422-1808 | Acupuncturist | 2025-03-17 |
| Winston Liu | 4800 Olson Memorial Hwy Ste 110, Golden Valley, MN 55422-0717 | General Practice Dentistry | 2016-02-16 |
| Marta Khan | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422 | Physician Assistant | 2016-07-07 |
| Eileen A Mckee | 5851 Duluth St, 115, Golden Valley, MN 55422 | Clinical Nurse Specialist | 2006-09-07 |
| Devika Singh | 300 Hidden Lakes Pkwy, Golden Valley, MN 55422 | Nurse's Aide | 2025-08-01 |
| Anna Marie Peterson | 3815 W Broadway Ave, Robbinsdale, MN 55422-2207 | Speech-Language Pathologist | 2025-04-23 |
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| Mara Elizabeth Capello · Mara Elizabeth Ward-Goldberg | 900 Cummings Center, Suite 416u, Beverly, MA 01915 | Clinical Social Worker | 2014-11-07 |
| Phuoc Y Ngoc Pham · Y-Ngoc Pham | 7288 Hanover Green Dr, Mechanicsville, VA 23111-1709 | Behavioral Analyst | 2018-08-06 |
| Anh K Pham · Khoa Pham | 2240 Coliseum Dr Ste D, Hampton, VA 23666-5903 | Dermatopathology Physician | 2015-07-01 |
| Kha John T Pham · Kj Pham | 13135 Barton Rd Ste Abc, Whittier, CA 90605-2757 | Behavior Technician | 2025-02-13 |
| Mara Alejandra Sigalos-Rivera · Mara Alejandra Rivera | 13492 N Highway 183 Ste 210200, Austin, TX 78750-2252 | Psychiatry Physician | 2018-03-26 |
| Mara Rachele Paisley · Mara Rachele Shapshay | 1911 Williams Dr Ste 150, Oxnard, CA 93036-2612 | Marriage & Family Therapist | 2025-05-27 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |