Priscilla Khai-Linh Nguyen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1860 Town Center Dr Ste 335
Reston, VA 20190-5900

Phone

(703) 787-3322

Fax

(703) 787-3380

NPI assigned

Apr 13, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reston Ear Nose and Throat PC

  • Otolaryngology Physician
  • Reston, VA
  • NPI 1508961087

  DC

  Medicare reassignment
• Edwin J Lee MD PC

  dba Ashburn Ear Nose and Throat

  • Otolaryngology Physician
  • Ashburn, VA
  • NPI 1558512673
  NPD (past)

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1023704053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 GALLOWS RD",
            "city": "DUNN LORING",
            "state": "VA",
            "postal_code": "220271224",
            "telephone_number": "818-632-0750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 335",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905900",
            "telephone_number": "703-787-3322",
            "fax_number": "703-787-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PRISCILLA",
        "middle_name": "KHAI-LINH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lo an T Nguyen, MD
• Nhi Phuong Tran Nguyen
• Phi Anh Nguyen, PHARM D
• Phong Quang Nguyen, MD
• Phuong Dung Nguyen
• Thao Nguyen
• Thien Nguyen
• Thomas T Nguyen, MD
• Thuan Nguyen
• Vy N Nguyen, PHARMD

• Physician Assistant in Reston, VA
• Providers in Reston, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.

Verify at the official NPI Registry.