Glowworm Pediatrics PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GLOWWORM PEDIATRICS PLLC

Practice address

2100 Muirfield Bend Dr Ste 115
Hutto, TX 78634-3587

Phone

(512) 861-9327

Fax

(512) 861-9328

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Vu A Nguyen, MDNPI 1194013722

Title

MD

Phone

(512) 861-9327

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20394/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vu Nguyen, M.D.

  • Pediatrics Physician
  • Hutto, TX
  • NPI 1194013722
  NPD Authorized official
• Stacy Lynne Parker, PA-C

  • Medical Physician Assistant
  • Austin, TX
  • NPI 1912231861
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1285299461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 MUIRFIELD BEND DR STE 115",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786343587",
            "telephone_number": "512-861-9327",
            "fax_number": "512-861-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MUIRFIELD BEND DR STE 115",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786343587",
            "telephone_number": "512-861-9327",
            "fax_number": "512-861-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOWWORM PEDIATRICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "512-861-9327",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kheren Jael Garcia, B.S.
• Hope M Garrison, LPC-A
• Dilpreet Gill, OD
• Glorious Organization LLC
• Glorious Organization LLC
• Stefanie Anne Gomez, APRN, MSN, CPNP-PC
• Good Word Speech and Language Pathology PLLC
• Matt Goodman, O.D.
• Samantha Govan, LVN
• Regina T Gray

• Pediatrics Physician in Hutto, TX
• Providers in Hutto, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.