Individual provider Active NPI

Quynh Phan Nguyen, NP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1336676949
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP133232 Issued in TX
Practice address
7777 Forest LN Ste 220
Dallas, TX 75230-2571
Phone
(972) 566-7790
NPI assigned
May 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP133232 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste 220
Dallas, TX 75230-2571

Mailing address

6801 Meade Dr
Colleyville, TX 76034-5778
Phone (281) 687-2875

Other identifiers 1

IdentifierTypeStateIssuer
386493603MedicaidTX

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
I20180724002585 TX Practitioner - Nurse Practitioner 2264789171 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

1609 Hospital Pkwy
Bedford, TX 76022-6920
Phone (817) 662-0008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor College of Medicine CurrentSince Apr 1, 2018 Accepting new patients
Texas Oncology PA CurrentSince Sep 7, 2021 Accepting new patients
Texas Oncology PA CurrentSince Sep 7, 2021 Accepting new patients
Baylor College of Medicine CurrentSince Apr 1, 2018 Accepting new patients
Baylor College of Medicine CurrentSince Nov 6, 2019 Accepting new patients
Baylor College of Medicine CurrentSince Nov 6, 2019 Accepting new patients
Baylor College of Medicine Past Accepting new patients

Locations

1609 Hospital Pkwy
Bedford, TX 76022
Phone (817) 359-9000

4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7777 Forest Ln
Ste 220
Dallas, TX 75230
Phone (972) 566-7790

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

9750 Hillwood Pkwy
Ft Worth, TX 76177
Phone (817) 697-5620

1631 Lancaster Dr
Ste 150
Grapevine, TX 76051
Phone (817) 251-9080

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1504 Taub Loop
#621
Houston, TX 77030

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

3925 Fairmont Pkwy
Pasadena, TX 77504
Phone (713) 500-5160

3705 W 15th St
Plano, TX 75075
Phone (972) 867-3577

Interoperability endpoints

  • Direct secure messaging: quynh.nguyen2@txo.ikm.direct-ci.com

Organizations & group practices 7

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1336676949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MEADE DR",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345778",
            "telephone_number": "281-687-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE 220",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302571",
            "telephone_number": "972-566-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUYNH",
        "middle_name": "PHAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-12",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP133232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386493603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.