Active NPI
Thanh Lan Nguyen, PA
- Physician Assistant
- Azle, TX
National Provider Identifier
1104105485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07204
- Practice address
- 460 Northwest Pkwy
Azle, TX 76020-3136 - Phone
- (866) 389-2727
- Fax
- (401) 652-9787
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA07204 | TX | Primary |
Addresses
Primary practice location
460 Northwest Pkwy
Azle, TX 76020-3136
Mailing address
PO Box 772
Woonsocket, RI 02895-0784
Phone (866) 389-2727
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 N Britain Rd
Parkland Health
Irving, TX 75061-2630
Phone (214) 266-3000
5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.1 of 100
- Quality
- 88.97
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 83.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital District | Physician Assistant | Current | Accepting new patients |
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Physician Assistant | Past | Accepting new patients |
Locations
3515 S Park Ave
Denison, TX 75020
Phone (903) 327-8537
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
Interoperability endpoints
- tnguyen112560@direct.phhs.org
Organizations & group practices 3
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.
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Family Medicine Physician
- Dallas, TX
- NPI 1891738050
Physician Assistant
Hospital & facility affiliations 45
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1144397324
Hospital
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1164042784
Hospital
-
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1194090001
Hospital
-
- Ambulatory Family Planning Facility
- Dallas, TX
- NPI 1235206418
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1104105485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028950784",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 NORTHWEST PKWY",
"city": "AZLE",
"state": "TX",
"postal_code": "760203136",
"telephone_number": "866-389-2727",
"fax_number": "401-652-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THANH",
"middle_name": "LAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Azle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; 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.