Individual provider Active NPI

Lucy Cao Nguyen

  • Physician Assistant
  • Arlington, TX
National Provider Identifier
1093331860
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA14989 Issued in TX
Practice address
2308 Point Star Dr
Arlington, TX 76001-5806
Phone
(682) 551-4043
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA14989 TX Primary

Addresses

Primary practice location

2308 Point Star Dr
Arlington, TX 76001-5806

Mailing address

2308 Point Star Dr
Arlington, TX 76001-5806
Phone (682) 551-4043

Other practice location 1

3141 E Broad St Ste 321
Mansfield, TX 76063-6439
Phone (817) 375-5847

Other practice location 2

515 W Mayfield Rd Ste 404
Arlington, TX 76014-2085
Phone (817) 375-5847

Other practice location 3

317 E Ovilla Rd Ste 200
Red Oak, TX 75154-3878
Phone (817) 375-5847

Other practice location 4

515 W Mayfield Rd Ste 200
Arlington, TX 76014-4596
Phone (817) 375-5847

Other practice location 5

515 W Mayfield Rd Ste 210
Arlington, TX 76014-4596
Phone (817) 375-5847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211116002442 TX Practitioner - Physician Assistant 7113316969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Burnaby Medical Group, LLCGroup PAC ID 2769843259, 2 clinicians
Gulf Shoals PLLCGroup PAC ID 0648619833, 3 clinicians

Practice addresses (Care Compare)

1113 W Pipeline Rd
Suite 115
Hurst, TX 76053-4759
Phone (817) 506-4857

3100 Peters Colony Rd
Flower Mound, TX 75022-2949
Phone (469) 443-6127

50 Indian Dr
Waxahachie, TX 75165-2579
Phone (682) 551-4043

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA14989TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Burnaby Medical Group LLC CurrentSince Sep 29, 2025 Accepting new patients

Locations

1113 W Pipeline Rd
Ste 115
Hurst, TX 76053
Phone (817) 506-4857

4701 Old Shepard Pl
Ste 260
Plano, TX 75093
Phone (972) 440-5389

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1093331860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2308 POINT STAR DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015806",
            "telephone_number": "682-551-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 POINT STAR DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760015806",
            "telephone_number": "682-551-4043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 E Broad St Ste 321",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760636439",
            "country_code": "US",
            "telephone_number": "817-375-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142085",
            "country_code": "US",
            "telephone_number": "817-375-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 E Ovilla Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Red Oak",
            "state": "TX",
            "postal_code": "751543878",
            "country_code": "US",
            "telephone_number": "817-375-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760144596",
            "country_code": "US",
            "telephone_number": "817-375-5847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "515 W Mayfield Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760144596",
            "country_code": "US",
            "telephone_number": "817-375-5847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LUCY",
        "middle_name": "CAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.