Active NPI
Lisa Tang Nguyen
- Family Nurse Practitioner
- Aberdeen, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 61206739
- Practice address
- 1006 N H St
Aberdeen, WA 98520-2521 - Phone
- (360) 537-6185
- NPI assigned
- Jun 26, 2024
- 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 | 61206739 | WA | Primary |
Addresses
Primary practice location
1006 N H St
Aberdeen, WA 98520-2521
Mailing address
1006 N H St
Aberdeen, WA 98520-2521
Phone (360) 537-6185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1006 N H St
Aberdeen, WA 98520-2521
Phone (360) 537-4185
Hospital & facility affiliations
- Grays Harbor Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61206739 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Surgeons | Current | Accepting new patients | |
| Bellevue Pain and Wellness PLLC | Past | Accepting new patients | |
| GHCH Physician Services, LLC | Past | Accepting new patients |
Locations
1006 N H St
Aberdeen, WA 98520
Phone (360) 537-6032
1006 N H St
Fl 4
Aberdeen, WA 98520
Phone (360) 537-6450
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
Organizations & group practices 5
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
- Aberdeen, WA
- NPI 1154378859
-
- Clinic/Center
- Westport, WA
- NPI 1497510333
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1881735462
-
- Pain Medicine Physician
- Bellevue, WA
- NPI 1740822139
-
- Surgery Physician
- Aberdeen, WA
- NPI 1326217670
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1013752765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 N H ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202521",
"telephone_number": "360-537-6185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 N H ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985202521",
"telephone_number": "360-537-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LISA",
"middle_name": "TANG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "61206739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.