Individual provider Active NPI

Joanne Nguyen, M.D.

  • Clinical Genetics (M.D.) Physician
  • Fort Worth, TX
National Provider Identifier
1184651077
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
License
N0316 Issued in TX
Practice address
750 8TH Ave Ste 200
Fort Worth, TX 76104-2500
Phone
(682) 885-2170
Fax
(817) 335-8277
NPI assigned
Jun 27, 2006
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X N0316 TX Primary
Pediatrics Physician 208000000X N0316 TX

Addresses

Primary practice location

750 8TH Ave Ste 200
Fort Worth, TX 76104-2500

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6163

Other practice location 1

6621 Fannin St
MC: W6104
Houston, TX 77030-2303
Phone (713) 873-3515

Other names 1

  • Dr. Joanne Macayran Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jnguyen15881@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080813000035 TX Practitioner - Pediatric MedicinePractitioner - Medical Genetics and Genomics 5890716211 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0316TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network Pediatrics CurrentSince Oct 1, 2017 Accepting new patients
Cook Children's Physician Network Clinical Genetics (M.D.) CurrentSince Oct 1, 2017 Accepting new patients
Magella Medical Associates Billing, Inc. Past Accepting new patients

Locations

1300 W Lancaster Ave
Ste 204
Ft Worth, TX 76102
Phone (682) 885-2170

750 8th Ave
Ste 200
Ft Worth, TX 76104
Phone (682) 885-2170

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: jnguyen15881@cookchildrens.direct-ci.com

Organizations & group practices 3

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1184651077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6163",
            "fax_number": "682-885-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 8TH AVE STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042500",
            "telephone_number": "682-885-2170",
            "fax_number": "817-335-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6621 Fannin St",
            "address_2": "MC: W6104",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302303",
            "country_code": "US",
            "telephone_number": "713-873-3515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "TX",
            "license": "N0316",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N0316",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnguyen15881@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "750 8th Ave Ste 200",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761042500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOANNE",
            "last_name": "MACAYRAN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.