Individual provider Active NPI

Ngoc Thuy Le Nguyen, LIC. ACU-D.O.M

  • Acupuncturist
  • Morrow, GA
National Provider Identifier
1285834903
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
000074 Issued in GA
Practice address
5888 Jonesboro Rd
Morrow, GA 30260-1103
Phone
(770) 961-1011
Fax
(770) 961-1011
NPI assigned
Jul 20, 2007
Last updated
Jul 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 000074 GA Primary

Addresses

Primary practice location

5888 Jonesboro Rd
Morrow, GA 30260-1103

Mailing address

5888 Jonesboro Rd
Morrow, GA 30260-1103
Phone (770) 961-1011

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
000074GAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1285834903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601103",
            "telephone_number": "770-961-1011",
            "fax_number": "770-961-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601103",
            "telephone_number": "770-961-1011",
            "fax_number": "770-961-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NGOC",
        "middle_name": "THUY LE",
        "name_prefix": "Ms.",
        "credential": "LIC. ACU-D.O.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "000074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.