Active NPI
Ven Thi Lam, FNP
- Family Nurse Practitioner
- Springfield, MO
National Provider Identifier
1003188285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2012001793
- Practice address
- 2828 N National Ave
Springfield, MO 65803-4306 - Phone
- (417) 837-4000
- Fax
- (417) 875-4720
- NPI assigned
- Feb 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2012001793 | MO | Primary |
Addresses
Primary practice location
2828 N National Ave
Springfield, MO 65803-4306
Mailing address
2828 N National Ave
Springfield, MO 65803-4306
Phone (417) 837-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003188285 | Medicaid | MO |
Other names 1
- Ven Thi Vu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1003188285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 N NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034306",
"telephone_number": "417-837-4000",
"fax_number": "417-875-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N NATIONAL AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658034306",
"telephone_number": "417-837-4000",
"fax_number": "417-875-4720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "VEN",
"middle_name": "THI",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-02",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2012001793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003188285",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VEN",
"last_name": "VU",
"middle_name": "THI",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.