Individual provider Active NPI

Lan-Uyen Trang Stephanie Nguyen

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1174152680
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7404 Issued in OK
Practice address
12301 N Western Ave Ste 101
Oklahoma City, OK 73114-8017
Phone
(405) 962-8123
NPI assigned
Apr 6, 2020
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7404 OK Primary

Addresses

Primary practice location

12301 N Western Ave Ste 101
Oklahoma City, OK 73114-8017

Mailing address

608 NW 9TH St
Oklahoma City, OK 73102-1068
Phone (405) 272-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012001324 OK Practitioner - Family Practice 9537514401 Reassigns benefits to 4 organizations
Practice locations: Oklahoma City, OK

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rocky Vista University College of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairie Gardens Medical LLCGroup PAC ID 6305265877, 3 clinicians

Practice addresses (Care Compare)

12301 N Western Ave
Suite 101
Oklahoma City, OK 73114-8017
Phone (405) 962-8123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
7404OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Apr 8, 2024 Accepting new patients
Signify Health, LLC CurrentSince Feb 7, 2024 Accepting new patients
Tupper Orthopedics PLLC CurrentSince Nov 12, 2023 Accepting new patients
American Current Care, PA CurrentSince Apr 8, 2024 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Nov 28, 2024 Accepting new patients
Summit Medical Center Past Accepting new patients
Prairie Gardens Medical LLC PastSince Jul 27, 2020 Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

1121 NW 63rd St
Ste 5001
Nichols Hills, OK 73116
Phone (405) 652-0632

10601 S Western Ave
Ste 100
Oklahoma City, OK 73170

12301 N Western Ave
Ste 101
Oklahoma City, OK 73114
Phone (405) 757-8338

36 W Memorial Rd
Ste C3
Oklahoma City, OK 73114
Phone (405) 755-3110

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1174152680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 NW 9TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021068",
            "telephone_number": "405-272-7494",
            "fax_number": "405-272-6985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 N WESTERN AVE STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731148017",
            "telephone_number": "405-962-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN-UYEN",
        "middle_name": "TRANG STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "7404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.