Individual provider Active NPI

Anh Tuyet Vuong, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1295345163
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241812 Issued in AZ
Practice address
1610 E Camelback Rd # 8366
Phoenix, AZ 85016-3902
Phone
(602) 277-1727
NPI assigned
Aug 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 241812 AZ
Family Nurse Practitioner 363LF0000X 241812 AZ Primary

Addresses

Primary practice location

1610 E Camelback Rd # 8366
Phoenix, AZ 85016-3902

Mailing address

1610 E Camelback Rd # 8366
Phoenix, AZ 85016-3902
Phone (602) 277-1727

Other practice location 1

1847 W Heatherbrae Dr
Phoenix, AZ 85015-4764
Phone (602) 274-2100

Other identifiers 1

IdentifierTypeStateIssuer
241812OtherAZSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210312001278 AZ Practitioner - Nurse Practitioner 4688080849 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241812AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minghsun Liu, MD PC Single Specialty CurrentSince May 6, 2024 Accepting new patients
WT Health of Arizona LLC Single Specialty CurrentSince Mar 5, 2025 Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

3800 N Central Ave
Ste 460
Phoenix, AZ 85012
Phone (469) 466-7006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1295345163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E CAMELBACK RD # 8366",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163902",
            "telephone_number": "602-277-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E CAMELBACK RD # 8366",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163902",
            "telephone_number": "602-277-1727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1847 W Heatherbrae Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154764",
            "country_code": "US",
            "telephone_number": "602-274-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUONG",
        "first_name": "ANH",
        "middle_name": "TUYET",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "241812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "241812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "241812",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.