Individual provider Active NPI

Thuy Lien Kabza, LMP

  • Specialist
  • Vancouver, WA
National Provider Identifier
1275779217
Registry record updated Dec 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00025395 Issued in WA
Practice address
9106 NE Highway 99
H
Vancouver, WA 98665-8971
Phone
(503) 419-7602
NPI assigned
Dec 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00025395 WA Primary

Addresses

Primary practice location

9106 NE Highway 99
H
Vancouver, WA 98665-8971

Mailing address

11835 NE Stanton St
Portland, OR 97220-1764
Phone (503) 419-7602

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
MA00025395WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229904000000",
    "number": "1275779217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 NE STANTON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972201764",
            "telephone_number": "503-419-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9106 NE HIGHWAY 99",
            "address_2": "H",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658971",
            "telephone_number": "503-419-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABZA",
        "first_name": "THUY",
        "middle_name": "LIEN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2008-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00025395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.