2026 NPPES data Family Nurse Practitioner NPI 1134459670 ARNP
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Zaleh Parham, ARNP

Family Nurse Practitioner in Tacoma, Washington. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
573
Medicare Part D claims · 185 beneficiaries · Family Nurse Practitioner avg: 1K
Industry payments
$818.29
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Zaleh Parham, ARNP filed 573 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Tacoma, Washington.

573
Part D claims, 2023
$818.29
industry payments (Sunshine Act)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Zaleh Parham, ARNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

573 Top 34% higher than 66% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about Zaleh Parham, ARNP?

Quality data not reported

NPI registry status

Active

Issued 01/06/2010

NPI 1134459670

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

573 53% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Washington

How Family Nurse Practitioner compares to other specialties among Washington providers

Washington providers

Family Nurse Practitioner share within Washington

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Zaleh Parham, ARNP appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding ARNP credentials at 1901 S CEDAR ST, Tacoma, WA, 98405, with a listed phone of (253) 968-0770. NPI 1134459670 was issued on 01/06/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Parham most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 573 prescription claims written by this provider, covering 185 Medicare beneficiaries and totaling roughly $40K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1901 S CEDAR ST
Tacoma, WA 98405

Provider Details

NPI 1134459670
Specialty Family Nurse Practitioner
Credentials ARNP
Gender Female
NPI Issued 01/06/2010

Hospital and facility affiliations

Facilities where Zaleh Parham, ARNP bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

Eppel Family Medicine LLC
Port Orchard, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Zaleh Parham, ARNP. Source: openpaymentsdata.cms.gov.

Total received

$818

Largest payer

Novo Nordisk Inc

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to Zaleh Parham, ARNP. To verify Zaleh Parham, ARNP's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

573
Total Claims
$40K
Total Drug Cost
185
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
905
Total Day Supply
23,520
Generic Drug Cost
$10K
Antibiotic Claims
87

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.21
Gender Split
61% female / 39% male
Age Distribution
<65: 40, 65-74: 86, 75-84: 44, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Zaleh Parham, ARNP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Fluticasone Propionate
29
Albuterol Sulfate Hfa
Albuterol Sulfate
25
Bupropion Hcl Sr
Bupropion Hcl
24
Methylprednisolone
24
Naltrexone Hcl
24
Atorvastatin Calcium
20
Omeprazole
19
Amlodipine Besylate
18
Trulicity
Dulaglutide
17
Lisinopril
15

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Family Nurse Practitioner Overview

How Zaleh Parham, ARNP fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Zaleh Parham, ARNP's 573 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Parham.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Washington medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Zaleh Parham, ARNP's specialty?
Zaleh Parham, ARNP specializes in Family Nurse Practitioner and practices in Tacoma, Washington. Credentials: ARNP.
How much does Zaleh Parham, ARNP prescribe under Medicare Part D?
In 2023, Zaleh Parham, ARNP wrote 573 Medicare Part D claims totaling $40K in drug costs for 185 beneficiaries.
Where is Zaleh Parham, ARNP located?
Zaleh Parham, ARNP is located at 1901 S CEDAR ST, Tacoma, WA, 98405. Phone: (253) 968-0770.
What is Zaleh Parham, ARNP's NPI number?
Zaleh Parham, ARNP's National Provider Identifier (NPI) is 1134459670, issued on 01/06/2010.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Zaleh Parham, ARNP prescribe most often?
Based on 2023 Medicare Part D data, Zaleh Parham, ARNP's most frequently prescribed drugs include Fluticasone Propionate, Albuterol Sulfate Hfa, Bupropion Hcl Sr. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Zaleh Parham, ARNP accept Medicare?
Zaleh Parham, ARNP appears in CMS Medicare data with 573 Part D claims and 185 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Zaleh Parham, ARNP's credentials?
Zaleh Parham, ARNP's NPI is 1134459670 with credentials ARNP. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology