Individual provider Active NPI

Tuyet-Trinh Katie Nguyen, PA

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1043702012
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA17062 Issued in TX
Practice address
6411 E Northwest Hwy Ste 120
Dallas, TX 75231-8007
Phone
(469) 495-9110
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 308912 LA
Physician Assistant 363A00000X PA17062 TX Primary

Addresses

Primary practice location

6411 E Northwest Hwy Ste 120
Dallas, TX 75231-8007

Mailing address

3601 Karen Dr
Chalmette, LA 70043-2511
Phone (504) 352-0510

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnguyen2470929@direct.texashealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190219001392 LA Practitioner - Physician Assistant 4880932730 Reassigns benefits to 3 organizations
I20240116001099 TX Practitioner - Physician Assistant 4880932730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians

Practice addresses (Care Compare)

125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104

3805 W University Dr
Suite 100
McKinney, TX 75071-2944
Phone (469) 495-9102

612 E Lamar Blvd
Arlington, TX 76011-4121
Phone (866) 416-6687

6411 E Northwest Hwy
Suite 120
Dallas, TX 75231-8007
Phone (469) 495-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
308912LAMDPhysician Assistant
PA17062TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
Texas Health Urgent Care Physician Assistant Current Accepting new patients
Texas Health Urgent Care CurrentSince Feb 1, 2024 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jan 21, 2019 Accepting new patients
Texas Health Urgent Care CurrentSince Feb 1, 2024 Accepting new patients
Eye Center of St Bernard Past Accepting new patients

Locations

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

420 E Pleasant Run Rd
Ste 330
Cedar Hill, TX 75104
Phone (469) 495-9150

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: mprudhomme460781@direct.ochsner.org

Organizations & group practices 10

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1043702012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 KAREN DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700432511",
            "telephone_number": "504-352-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 E NORTHWEST HWY STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752318007",
            "telephone_number": "469-495-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUYET-TRINH",
        "middle_name": "KATIE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "308912",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA17062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnguyen2470929@direct.texashealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6411 E Northwest Hwy Ste 120",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752318007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.