Active NPI
Michelle Yen Nguyen
- Dental Hygienist
- Happy Valley, OR
National Provider Identifier
1073144671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5768
- Practice address
- 15280 SE Baron Loop
Happy Valley, OR 97086-4468 - Phone
- (971) 222-5451
- NPI assigned
- Feb 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5768 | OR | Primary |
Addresses
Primary practice location
15280 SE Baron Loop
Happy Valley, OR 97086-4468
Mailing address
15394 SE Ivy Creek St
Happy Valley, OR 97086-4459
Phone (971) 222-5451
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelleyen16@hotmail.com | ||
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H5768 | OR | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1073144671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15394 SE IVY CREEK ST",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970864459",
"telephone_number": "971-222-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15280 SE BARON LOOP",
"city": "HAPPY VALLEY",
"state": "OR",
"postal_code": "970864468",
"telephone_number": "971-222-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MICHELLE",
"middle_name": "YEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-01",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5768",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelleyen16@hotmail.com",
"affiliation": "N",
"address_1": "15280 SE Baron Loop",
"city": "Happy Valley",
"state": "OR",
"country_code": "US",
"postal_code": "970864468",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "15394 SE Ivy Creek St",
"city": "Happy Valley",
"state": "OR",
"country_code": "US",
"postal_code": "970864459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Happy Valley, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.