Nicole Nguyen, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

T5179 Issued in TX

Practice address

940 S Main St
Ste 191
Grapevine, TX 76051

Phone

(210) 201-2241

Fax

(210) 756-5125

NPI assigned

Apr 4, 2018

Reactivated

May 18, 2021

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

University of Texas Medical School at San Antonio, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Fuqua Psychiatric Consulting PLLCGroup PAC ID 9830540962, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nnguyen25575@direct.utmsa.com

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.

• Fuqua Psychiatric Consulting, PLLC

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1639804313
  Medicare reassignment Care Compare group NPD
• MCCD FL Psychiatry Services PA

  dba Talkiatry

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1659003457

  TX, UT

  Medicare reassignment NPD
• MCCD Psychiatry Services PLLC

  dba Talkiatry

  • Psychiatry Physician
  • New York, NY
  • NPI 1033750823

  TX

  Medicare reassignment
• Fuqua Psychiatric Consulting PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Southlake, TX
  • NPI 1083501951
  NPD

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1063918449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 S MAIN ST STE 191",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517548",
            "telephone_number": "210-201-2241",
            "fax_number": "210-756-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 S MAIN ST",
            "address_2": "STE 191",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "76051",
            "telephone_number": "210-201-2241",
            "fax_number": "210-756-5125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8000 W Interstate 10 Ste 1500",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782303883",
            "country_code": "US",
            "telephone_number": "210-201-2241",
            "fax_number": "210-756-5125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "deactivation_date": "2021-04-09",
        "reactivation_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlyn Newman, OTR
• Nextmed Surgical Institute of Excellence LLC
• Hung Nguyen
• Kim Nguyen, PHARMD
• Linda Nguyen
• Tien Van Nguyen, PHARM D.
• Vilinh Nguyen, PHARM.D.
• Amy L Nicholas, PA
• Richard Alan Nichols, PA DPM
• Connor Nickerson, LCSW

• Psychiatry Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.