Individual provider Active NPI

Vy Nguyen Jaime, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Harlingen, TX
National Provider Identifier
1306509468
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
225864 Issued in AZ
Practice address
613 Victoria LN
Harlingen, TX 78550-0235
Phone
(626) 423-9749
NPI assigned
Oct 15, 2021
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225864 AZ Primary
Registered Nurse 163W00000X 225864 AZ

Addresses

Primary practice location

613 Victoria LN
Harlingen, TX 78550-0235

Mailing address

1001 E Tyler Ave
Harlingen, TX 78550-7135

Other practice location 1

5 Varela Ct
Brownsville, TX 78526-1756
Phone (626) 423-9749

Other names 1

  • Vy Tuong Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20220921000633 TX Practitioner - Nurse Practitioner 0648655092 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

613 Victoria LN
Harlingen, TX 78550-0235
Phone (956) 365-2600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225864AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Strategic BH-Brownsville LLC CurrentSince Nov 28, 2023 Accepting new patients
Cci Therapy -Counseling Centers International CurrentSince Sep 7, 2022 Accepting new patients

Locations

908 Paredes Line Rd
Brownsville, TX 78521
Phone (956) 572-0100

1001 E Tyler Ave
Harlingen, TX 78550
Phone (239) 404-6641

613 Victoria Ln
Harlingen, TX 78550
Phone (888) 800-5641

Organizations & group practices 3

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1306509468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E TYLER AVE",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 VICTORIA LN",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785500235",
            "telephone_number": "626-423-9749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Varela Ct",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785261756",
            "country_code": "US",
            "telephone_number": "626-423-9749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIME",
        "first_name": "VY",
        "middle_name": "NGUYEN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "225864",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "225864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VY",
            "last_name": "NGUYEN",
            "middle_name": "TUONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.