Individual provider Active NPI

Susan Diep Nguyen, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
National Provider Identifier
1306267430
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
ARNP9332004 Issued in FL
Practice address
2309 W Woolbright Rd
Suite #1
Boynton Beach, FL 33426-6366
Phone
(561) 364-7800
NPI assigned
Dec 16, 2013
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP9332004 FL
Gerontology Nurse Practitioner 363LG0600X ARNP9332004 FL
Primary Care Nurse Practitioner 363LP2300X ARNP9332004 FL Primary

Addresses

Primary practice location

2309 W Woolbright Rd
Suite #1
Boynton Beach, FL 33426-6366

Mailing address

2309 W Woolbright Rd
Suite #1
Boynton Beach, FL 33426-6366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140318001528 FL Practitioner - Nurse Practitioner 1951532886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hien B Nguyen MD PAGroup PAC ID 5294982781, 2 clinicians

Practice addresses (Care Compare)

2309 W Woolbright Rd
Suite 1
Boynton Beach, FL 33426-6366
Phone (561) 364-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hien B Nguyen MD PA CurrentSince Feb 3, 2014 Accepting new patients

Locations

2309 W Woolbright Rd
Ste 1
Boynton Beach, FL 33426
Phone (561) 364-7800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1306267430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 W WOOLBRIGHT RD",
            "address_2": "SUITE #1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 W WOOLBRIGHT RD",
            "address_2": "SUITE #1",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266366",
            "telephone_number": "561-364-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SUSAN",
        "middle_name": "DIEP",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9332004",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "ARNP9332004",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "ARNP9332004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.