Individual provider Active NPI

Phianh Thi Nguyen, APRN

  • Nurse Practitioner
  • Plano, TX
National Provider Identifier
1104254986
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP1010691 Issued in TX
Practice address
5800 Communications Pkwy
Plano, TX 75093-7882
Phone
(972) 265-4190
Fax
(972) 265-4189
NPI assigned
Oct 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3008283 KY
Adult Health Nurse Practitioner 363LA2200X 3008283 KY
Family Nurse Practitioner 363LF0000X 3008283 KY
Nurse Practitioner 363L00000X AP1010691 TX Primary

Addresses

Primary practice location

5800 Communications Pkwy
Plano, TX 75093-7882

Mailing address

5800 Communications Pkwy
Plano, TX 75093-7882
Phone (972) 265-4190

Other practice location 1

1505 S 7th St
Louisville, KY 40208-1710
Phone (502) 637-1005 ext. 119

Other practice location 2

4402 Churchman Ave Ste 201
Louisville, KY 40215-3100
Phone (502) 416-0207

Other practice location 3

6124 W Parker Rd Ste 336
Plano, TX 75093-8124
Phone (972) 265-4190

Other identifiers 1

IdentifierTypeStateIssuer
7100263950MedicaidKY

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
I20201027000122 TX Practitioner - Nurse Practitioner 8426283094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

6124 W Parker Rd
Plano, TX 75093-8124
Phone (972) 265-4190

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1010691TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Jul 1, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Pearl Medical Practice PLLC PastSince Jan 31, 2021 Accepting new patients

Locations

4521 Medical Center Dr
Ste 500
McKinney, TX 75069
Phone (972) 398-0393

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

6124 W Parker Rd
Ste 336
Plano, TX 75093
Phone (972) 403-3100

5800 Communications Pkwy
Plano, TX 75093
Phone (972) 265-4190

Interoperability endpoints

  • Direct secure messaging: pnguyen1737429@direct.texashealth.org

Organizations & group practices 4

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": "1381708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1104254986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937882",
            "telephone_number": "972-265-4190",
            "fax_number": "972-265-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937882",
            "telephone_number": "972-265-4190",
            "fax_number": "972-265-4189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402081710",
            "country_code": "US",
            "telephone_number": "502-637-1005 x119",
            "fax_number": "502-637-5631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4402 Churchman Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402153100",
            "country_code": "US",
            "telephone_number": "502-416-0207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6124 W Parker Rd Ste 336",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938124",
            "country_code": "US",
            "telephone_number": "972-265-4190",
            "fax_number": "972-265-4189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHIANH",
        "middle_name": "THI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-14",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3008283",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3008283",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP1010691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100263950",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.