Individual provider Active NPI

Phuong T Le, NP

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1053566505
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3907 Issued in CT
Practice address
2330 S Lamar Blvd Ste 300
Austin, TX 78704-5265
Phone
(949) 284-5441
NPI assigned
Nov 25, 2008
Last updated
Jun 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 107155 WV
Nurse Practitioner 363L00000X 212951 AR
Nurse Practitioner 363L00000X APN0995685 CO
Nurse Practitioner 363L00000X RN1059045 DC
Nurse Practitioner 363L00000X 26NR22062200 NJ
Nurse Practitioner 363L00000X R246627 MD
Nurse Practitioner 363L00000X 246648 AZ
Nurse Practitioner 363L00000X 18647 CA
Nurse Practitioner 363L00000X 28000 TX
Nurse Practitioner 363L00000X AP61094823 WA
Nurse Practitioner 363L00000X 11007868 FL
Nurse Practitioner 363L00000X 209.021786 IL
Family Nurse Practitioner 363LF0000X RN2350383 MA
Family Nurse Practitioner 363LF0000X 11839375-3102 AL
Family Nurse Practitioner 363LF0000X 3907 CT Primary

Addresses

Primary practice location

2330 S Lamar Blvd Ste 300
Austin, TX 78704-5265

Mailing address

135 Fountain St
New Haven, CT 06515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 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
I20090122000590 CT Practitioner - Nurse Practitioner 7315001120 Reassigns benefits to 2 organizations
I20231023000155 MA Practitioner - Nurse Practitioner 7315001120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3907CTMDClinical Psychologist
28000TXMDDentist
212951ARMDNurse Practitioner
246648AZMDNurse Practitioner
18647CAMDNurse Practitioner
APN0995685COMDNurse Practitioner
RN1059045DCMDNurse Practitioner
11007868FLMDNurse Practitioner
209.021786ILMDNurse Practitioner
R246627MDMDNurse Practitioner
26NR22062200NJMDNurse Practitioner
AP61094823WAMDNurse Practitioner
107155WVMDNurse Practitioner
11839375-3102ALMDFamily Nurse Practitioner
RN2350383MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piction Health Medical Group, P.a. CurrentSince Aug 8, 2023 Accepting new patients
NP Care, LLC Nurse Practitioner Past Accepting new patients
First Choice Health Centers, Inc. Past Accepting new patients
Piction Health Medical Group of Massachusetts, P.C. Past Accepting new patients

Locations

175 Capital Blvd
Ste 400
Rocky Hill, CT 06067
Phone (617) 902-0443

55 Court St
Fl 2
Boston, MA 02108
Phone (617) 902-0443

170 Commerce Way
Ste 200
Portsmouth, NH 03801
Phone (201) 293-7689

Interoperability endpoints

  • Direct secure messaging: phuong.le@337577483108356.direct.elationemr.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1053566505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 FOUNTAIN ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "06515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 S LAMAR BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045265",
            "telephone_number": "949-284-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LE",
        "first_name": "PHUONG",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "107155",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "212951",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN0995685",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1059045",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR22062200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R246627",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "246648",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "18647",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "28000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61094823",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11007868",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.021786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2350383",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "11839375-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "3907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.