Individual provider Active NPI

Thoa Thi Nguyen, APRN

  • Acute Care Nurse Practitioner
  • Bloomfield, CT
National Provider Identifier
1124309489
Registry record updated Jun 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
004758 Issued in CT
Practice address
35 Jolley Dr
Suite 203
Bloomfield, CT 06002-3062
Phone
(860) 769-9866
Fax
(860) 769-7300
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 004758 CT Primary

Addresses

Primary practice location

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-3062

Mailing address

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-3062
Phone (860) 769-9866

Other identifiers 1

IdentifierTypeStateIssuer
004047585MedicaidCT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnguyen16407@direct.stfrancis.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110912000461 CT Practitioner - Nurse Practitioner 0547431173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
Greater Hartford Nephrology LLCGroup PAC ID 5991772212, 8 clinicians

Practice addresses (Care Compare)

114 Woodland St
Hartford, CT 06105-1208
Phone (860) 714-4000

35 Jolley Dr
Suite 203
Bloomfield, CT 06002-4228
Phone (860) 769-9866

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004758CTMDMental Health Counselor
4758CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Nephrology, LLC CurrentSince Mar 1, 2013 Accepting new patients
Galen Inpatient Physicians PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 1, 2025 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Dec 1, 2025 Accepting new patients

Locations

35 Jolley Dr
Ste 203
Bloomfield, CT 06002
Phone (860) 769-7302

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

Interoperability endpoints

  • Direct secure messaging: thoa.nguyen@direct.davitaphysiciansolutions.com

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 3

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623974400000",
    "number": "1124309489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-769-9866",
            "fax_number": "860-769-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOLLEY DR",
            "address_2": "SUITE 203",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023062",
            "telephone_number": "860-769-9866",
            "fax_number": "860-769-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOA",
        "middle_name": "THI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2021-06-18",
        "certification_date": "2021-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CT",
            "license": "004758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004047585",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnguyen16407@direct.stfrancis.org",
            "affiliation": "N",
            "endpointDescription": "trinity health of New England Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "35 Jolley Dr",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060023071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

Verify at the official NPI Registry.