Active NPI
Kim CHI T Nguyen, MD
- Family Medicine Physician
- Minden, NV
National Provider Identifier
1215081849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 17463
- Practice address
- 897 Ironwood Dr
Minden, NV 89423-5198 - Phone
- (775) 782-1610
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 17463 | NV | Primary |
| Family Medicine Physician | 207Q00000X | MD-9597 | HI |
Addresses
Primary practice location
897 Ironwood Dr
Minden, NV 89423-5198
Mailing address
897 Ironwood Dr
Minden, NV 89423-5198
Phone (775) 782-1610
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V53036 | Other | NV | MEDICARE |
| 1215081849 | Medicaid | NV | |
| 002470-02 | Medicaid | HI | |
| 00C0212005 | Other | HI | HMSA BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-9597 | HI | MD | Family Medicine Physician |
| 17463 | NV | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1215081849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "897 IRONWOOD DR",
"city": "MINDEN",
"state": "NV",
"postal_code": "894235198",
"telephone_number": "775-782-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "897 IRONWOOD DR",
"city": "MINDEN",
"state": "NV",
"postal_code": "894235198",
"telephone_number": "775-782-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM CHI",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "17463",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-9597",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "V53036",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215081849",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002470-02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "00C0212005",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minden, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.