Panha Ngom, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60515 Issued in RI

Practice address

530 N Main St FL 4
Providence, RI 02904-5762

Phone

(401) 582-0110

Fax

(401) 528-0188

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1306319421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NATICK AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029211106",
            "telephone_number": "401-209-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 N MAIN ST FL 4",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045762",
            "telephone_number": "401-582-0110",
            "fax_number": "401-528-0188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOM",
        "first_name": "PANHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "RI",
            "license": "RN60515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Next Step Up Corp
• Karen Y NG, MD
• Thomas Tin Shun NG, MD
• Vivian NG, LMHC
• Fifi Ngin, PHARM.D.
• Thu-Trang Nguyen Raheb, PHARMD, RPH
• Krissy Bich Quan Nguyen-Stone, N.P.
• Helen Nguyen, PA-C
• Joshua Nguyen
• Melissa Nguyen

• Registered Nurse in Providence, RI
• Providers in Providence, RI by specialty
• Registered Nurse in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.