Active NPI
Pierre Hiep Ly, BSN, RN
- Registered Nurse
- Grand Prairie, TX
National Provider Identifier
1104732247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1213703
- Practice address
- 2696 Waterway Dr
Grand Prairie, TX 75054-7236 - Phone
- (682) 302-1234
- NPI assigned
- Aug 19, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1213703 | TX | Primary |
Addresses
Primary practice location
2696 Waterway Dr
Grand Prairie, TX 75054-7236
Mailing address
2696 Waterway Dr
Grand Prairie, TX 75054-7236
Phone (682) 302-1234
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1104732247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2696 WATERWAY DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750547236",
"telephone_number": "682-302-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2696 WATERWAY DR",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750547236",
"telephone_number": "682-302-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "PIERRE",
"middle_name": "HIEP",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-19",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1213703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.