Individual provider Active NPI

Truc Nguyen, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kent, WA
National Provider Identifier
1154641868
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60590912 Issued in WA
Practice address
124 4TH Ave S Ste 230
Kent, WA 98032-5907
Phone
(206) 721-0243
Fax
(425) 955-7877
NPI assigned
Jun 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60590912 WA Primary

Addresses

Primary practice location

124 4TH Ave S Ste 230
Kent, WA 98032-5907

Mailing address

124 4TH Ave S Ste 230
Kent, WA 98032-5907
Phone (206) 721-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20151106000619 WA Practitioner - Nurse Practitioner 3072823855 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Sep 8, 2015 Accepting new patients
Puget Sound Psychiatric Center, PS Psychiatric/Mental Health CurrentSince Jul 1, 2018 Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Sep 8, 2015 Accepting new patients
Bailey Mason Enterprises, Inc CurrentSince Jan 24, 2021 Accepting new patients
Valley Cities Counseling and Consultation CurrentSince Sep 8, 2015 Accepting new patients
Catholic Community Services of Western Washington CurrentSince Jun 1, 2024 Accepting new patients
Refugee Women's Alliance Past Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

10634 E Riverside Dr
Ste 130
Bothell, WA 98011
Phone (425) 806-5021

26401 Pacific Hwy S
Des Moines, WA 98198
Phone (206) 477-6800

325 W Gowe St
Kent, WA 98032

19221 36th Ave W
Ste 208
Lynnwood, WA 98036
Phone (425) 478-6100

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1902 2nd Ave
Ste 208
Seattle, WA 98101
Phone (206) 956-9570

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1154641868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 230",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325907",
            "telephone_number": "206-721-0243",
            "fax_number": "425-955-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 4TH AVE S STE 230",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325907",
            "telephone_number": "206-721-0243",
            "fax_number": "425-955-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRUC",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60590912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.