Individual provider Active NPI

Vivian Ly Nguyen, RRT, RCP

  • Registered Respiratory Therapist
  • North Chesterfield, VA
National Provider Identifier
1225878580
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
0117008813 Issued in VA
Practice address
713 Boulder Springs Dr Apt B2
North Chesterfield, VA 23225-5532
Phone
(714) 222-2531
NPI assigned
May 24, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X 30109 CA
Registered Respiratory Therapist 227900000X 0117008813 VA Primary

Addresses

Primary practice location

713 Boulder Springs Dr Apt B2
North Chesterfield, VA 23225-5532

Mailing address

713 Boulder Springs Dr Apt B2
North Chesterfield, VA 23225-5532
Phone (714) 222-2531

Other names 1

  • Vivian Ly Phan Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30109CAMDRegistered Respiratory Therapist
0117008813VAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1225878580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 BOULDER SPRINGS DR APT B2",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255532",
            "telephone_number": "714-222-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 BOULDER SPRINGS DR APT B2",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255532",
            "telephone_number": "714-222-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIAN",
        "middle_name": "LY",
        "credential": "RRT, RCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "30109",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "VA",
            "license": "0117008813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "PHAN",
            "middle_name": "LY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.