Active NPI
Julie Nguyen
- Physician Assistant
- Bellevue, WA
National Provider Identifier
1104640804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.61677443
- Practice address
- 933 111TH Ave NE
Bellevue, WA 98004-4486 - Phone
- (877) 345-5300
- Fax
- (561) 989-3665
- NPI assigned
- Nov 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA18840 | TX | |
| Physician Assistant | 363A00000X | PA.61677443 | WA | Primary |
Addresses
Primary practice location
933 111TH Ave NE
Bellevue, WA 98004-4486
Mailing address
719 Glen Rock PL
Arlington, TX 76014-2134
Other practice location 1
7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone (832) 869-4818
Other practice location 2
7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (832) 869-4818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2110 W Trenton Rd
Unit a
Edinburg, TX 78539-4674
Phone 8328694818235
2110 W Trenton Rd Unit B
Edinburg, TX 78539-4674
Phone 8328694818235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA18840 | TX | MD | Physician Assistant |
| PA.61677443 | WA | MD | Physician Assistant |
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.
-
- Psychiatry Physician
- Houston, TX
- NPI 1013476027
-
- Dermatology Physician
- Seattle, WA
- NPI 1083135693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1104640804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 GLEN ROCK PL",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760142134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 111TH AVE NE",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044486",
"telephone_number": "877-345-5300",
"fax_number": "561-989-3665"
}
],
"practiceLocations": [
{
"address_1": "7877 Willow Chase Blvd",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770705934",
"country_code": "US",
"telephone_number": "832-869-4818",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7703 Floyd Curl Dr",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293901",
"country_code": "US",
"telephone_number": "832-869-4818",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA18840",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA.61677443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.