Individual provider Active NPI

Thuy-Tien V Le, DO

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1023015641
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP00001863 Issued in WA
Practice address
732 Broadway Ste 201
Tacoma, WA 98402-3702
Phone
(702) 871-8535
Fax
(941) 499-0035
NPI assigned
Jun 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00001863 WA Primary

Addresses

Primary practice location

732 Broadway Ste 201
Tacoma, WA 98402-3702

Mailing address

PO Box 1884
Milton, WA 98354-1884
Phone (702) 871-8535

Other practice location 1

1901 S Union Ave
Ste A244
Tacoma, WA 98405-1702
Phone (253) 459-6500

Other identifiers 2

IdentifierTypeStateIssuer
8480089MedicaidWA
1117597MedicaidWA

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Morning Guardian Medical Inc PC Family Medicine CurrentSince Nov 8, 2020 Accepting new patients
Thu V. Le, M.D. Family Medicine PastSince Jan 1, 2007 Accepting new patients
Multicare Health System Family Medicine Past Accepting new patients

Locations

732 Broadway
Ste 201
Tacoma, WA 98402
Phone (702) 871-8535

Interoperability endpoints

  • Direct secure messaging: tle2493933@wm.providencedirect.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1023015641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1884",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983541884",
            "telephone_number": "702-871-8535",
            "fax_number": "941-499-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 BROADWAY STE 201",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984023702",
            "telephone_number": "702-871-8535",
            "fax_number": "941-499-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 S Union Ave",
            "address_2": "Ste A244",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051702",
            "country_code": "US",
            "telephone_number": "253-459-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE",
        "first_name": "THUY-TIEN",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00001863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8480089",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117597",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.