Individual provider Active NPI

Phuong Tran, NP

  • Family Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1265860571
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP124534 Issued in TX
Practice address
2770 Aero Dr Ste 3
Port Arthur, TX 77640-1519
Phone
(409) 237-5133
Fax
(409) 237-5162
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP124534 TX Primary

Addresses

Primary practice location

2770 Aero Dr Ste 3
Port Arthur, TX 77640-1519

Mailing address

2770 Aero Dr Ste 3
Port Arthur, TX 77640-1519
Phone (409) 237-5133

Other names 1

  • Mrs. Stephanie Tran Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140502000373 TX Practitioner - Nurse Practitioner 6204069040 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Healthcare Associates PLLCGroup PAC ID 6305281908, 2 clinicians

Practice addresses (Care Compare)

2770 Aero Dr
Suite 3
Port Arthur, TX 77640-1519
Phone (409) 543-4328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP124534TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C H Wilkinson Physician Network CurrentSince Apr 3, 2017 Accepting new patients
Genesis Healthcare Associates PLLC Family CurrentSince Mar 4, 2024 Accepting new patients
RHG of Texas PA CurrentSince Jan 27, 2025 Accepting new patients
C H Wilkinson Physician Network CurrentSince Apr 3, 2017 Accepting new patients
Gulf Coast Health Center, Inc PastSince Feb 1, 2014 Accepting new patients

Locations

3030 North St
Ste 420
Beaumont, TX 77702
Phone (409) 835-2900

3570 College St
Ste 200
Beaumont, TX 77701
Phone (409) 839-3118

910 S Main St
Big Spring, TX 79720
Phone (423) 714-4650

6265 39th St
Groves, TX 77619
Phone (409) 962-1121

1315 St Joseph Pkwy
Ste 1507
Houston, TX 77002
Phone (713) 650-6556

919 Hidden Rdg
Irving, TX 75038

520 S Twin City Hwy
Ste 102
Nederland, TX 77627
Phone (409) 727-1773

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

2770 Aero Dr
Ste 3
Port Arthur, TX 77640
Phone (409) 237-5133

2548 Memorial Blvd
Port Arthur, TX 77640
Phone 4099831161817

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFBEDD

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1265860571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 AERO DR STE 3",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401519",
            "telephone_number": "409-237-5133",
            "fax_number": "409-237-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 AERO DR STE 3",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776401519",
            "telephone_number": "409-237-5133",
            "fax_number": "409-237-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "PHUONG",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP124534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "TRAN",
            "prefix": "MRS.",
            "credential": "STEPHANIE TRAN, NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.