Active NPI
Debbie Mai Nguyen
- Student in an Organized Health Care Education/Training Program
- Des Moines, WA
National Provider Identifier
1003220955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- IR60290120
- Practice address
- 23003 Pacific Hwy S
Des Moines, WA 98198-7269 - Phone
- (206) 870-1832
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IR60290120 | WA | Primary |
Addresses
Primary practice location
23003 Pacific Hwy S
Des Moines, WA 98198-7269
Mailing address
12932 SE Kent Kangley Rd
236
Kent, WA 98030-7940
Phone (206) 734-7199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IR60290120 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Des Moines, WA
- NPI 1902811995
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403049600000",
"number": "1003220955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12932 SE KENT KANGLEY RD",
"address_2": "236",
"city": "KENT",
"state": "WA",
"postal_code": "980307940",
"telephone_number": "206-734-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23003 PACIFIC HWY S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981987269",
"telephone_number": "206-870-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DEBBIE",
"middle_name": "MAI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2014-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "IR60290120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.