Individual provider Active NPI

Thao Nguyen Allen, PA-C

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1063734713
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110003232 Issued in VA
Practice address
1831 Wiehle Ave
Suite 200
Reston, VA 20190-5266
Phone
(703) 709-1114
Fax
(703) 709-6516
NPI assigned
Feb 23, 2010
Last updated
Jun 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110003232 VA Primary

Addresses

Primary practice location

1831 Wiehle Ave
Suite 200
Reston, VA 20190-5266

Mailing address

1831 Wiehle Ave
Suite 200
Reston, VA 20190-5266
Phone (703) 709-1114

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100607000387 DC Practitioner - Physician Assistant 7214067917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.93 of 100Reported as group
Quality
70.87
Promoting interoperability
100
Improvement activities
40
Cost
75.55

National Provider Directory

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

Organizations & group practices 1

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": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1063734713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 WIEHLE AVE",
            "address_2": "SUITE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905266",
            "telephone_number": "703-709-1114",
            "fax_number": "703-709-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 WIEHLE AVE",
            "address_2": "SUITE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905266",
            "telephone_number": "703-709-1114",
            "fax_number": "703-709-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "THAO",
        "middle_name": "NGUYEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110003232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.