Suong Thi Van, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP140904 Issued in TX

Practice address

300 S Colorado St
Lockhart, TX 78644-2700

Phone

(512) 376-9690

NPI assigned

Sep 24, 2019

Last updated

Jan 6, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• Direct secure messaging: suong.van.1@8363.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Seton

  dba SEBD Professional Support Services

  • Family Medicine Physician
  • Luling, TX
  • NPI 1215118609
  NPD
• Ascension Seton

  dba Ascension Seton Smithville

  • Medicare Defined Swing Bed Hospital Unit
  • Smithville, TX
  • NPI 1598590101
  NPD
• Austin Geriatric Specialists, PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Austin, TX
  • NPI 1376575886
  NPD
• Ascension Seton

  dba Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1235234576
  NPD (past)
• Hni Medical Services

  • Hospitalist Physician
  • Austin, TX
  • NPI 1366735169
  NPD (past)
• Modern Pediatrics Professionals, PLLC

  • Pediatrics Physician
  • Austin, TX
  • NPI 1154952505
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1134770860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST STE B",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442707",
            "telephone_number": "512-376-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442700",
            "telephone_number": "512-376-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "SUONG",
        "middle_name": "THI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-24",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treebrook Counseling
• Kathryn Tucker, LCSW
• Abigail Turner, RN, BSN
• Illiana Turnini, FNP-C
• Edward Joseph Ulrich III, PA-C
• Sandra Denise Velasquez, AU.D., CCC-A
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-0292)
• Walgreen Co (Walgreens #11131)
• Carleen Waller
• Ashleigh Walton, LPC

• Family Nurse Practitioner in Lockhart, TX
• Providers in Lockhart, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.