Individual provider Active NPI

Mai Ly Thi Holly Nguyen, AU.D.

  • Audiologist
  • Las Vegas, NV
National Provider Identifier
1336585488
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A-245 Issued in NV
Practice address
6767 W Tropicana Ave Ste 212
Las Vegas, NV 89103-4760
Phone
(702) 755-9597
Fax
(702) 933-8688
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X A-245 NV
Audiologist 231H00000X A-245 NV Primary

Addresses

Primary practice location

6767 W Tropicana Ave Ste 212
Las Vegas, NV 89103-4760

Mailing address

5130 S Fort Apache Rd # 215-430
Las Vegas, NV 89148-1719
Phone (702) 755-9597

Other practice location 1

6767 W Tropicana Ave Ste 212
Las Vegas, NV 89103-4760
Phone (702) 755-9597

Other names 1

  • Holly Nguyen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140728001581 NV Practitioner - Qualified Audiologist 3476779430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6767 W Tropicana Ave
Suite 212
Las Vegas, NV 89103-4760
Phone (702) 755-9597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Audiology by Holly Nguyen LLC CurrentSince Jun 8, 2014 Accepting new patients

Locations

5130 S Fort Apache Rd
#215430
Las Vegas, NV 89148

6767 W Tropicana Ave
Ste 212
Las Vegas, NV 89103
Phone (702) 755-9597

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1336585488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S FORT APACHE RD # 215-430",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481719",
            "telephone_number": "702-755-9597",
            "fax_number": "702-933-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034760",
            "telephone_number": "702-755-9597",
            "fax_number": "702-933-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6767 W Tropicana Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891034760",
            "country_code": "US",
            "telephone_number": "702-755-9597",
            "fax_number": "702-933-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI LY",
        "middle_name": "THI HOLLY",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "NV",
            "license": "A-245",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NV",
            "license": "A-245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "NGUYEN",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.