Individual provider Active NPI

Tuyethong Bui

  • Phlebology Physician
  • Renton, WA
National Provider Identifier
1093294175
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
APPLYPROCESS Issued in WA
Practice address
330 SW 43Rd St Ste L
Renton, WA 98057-4900
Phone
(253) 981-4450
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X APPLYPROCESS WA Primary

Addresses

Primary practice location

330 SW 43Rd St Ste L
Renton, WA 98057-4900

Mailing address

330 SW 43Rd St Ste L
Renton, WA 98057-4900

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

LicenseStateTypeSpecialty
APPLYPROCESSWAMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phandinh Clinic LLC CurrentSince Sep 2, 2020 Accepting new patients

Locations

330 SW 43rd St
Ste L
Renton, WA 98057
Phone (253) 981-4450

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1093294175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST STE L",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 43RD ST STE L",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574900",
            "telephone_number": "253-981-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "TUYETHONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "WA",
            "license": "APPLYPROCESS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.