Active NPI
Diane Phuong Nguyen, MD
- Psychiatry Physician
- Victoria, TX
National Provider Identifier
1346395613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L8863
- Practice address
- 6502 Nursery Dr.
Suite 100
Victoria, TX 77904 - Phone
- (361) 575-0611
- Fax
- (512) 263-9975
- NPI assigned
- Jan 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | L8863 | TX | |
| Geriatric Psychiatry Physician | 2084P0805X | L8863 | TX | |
| Psychiatry Physician | 2084P0800X | L8863 | TX | Primary |
Addresses
Primary practice location
6502 Nursery Dr.
Suite 100
Victoria, TX 77904
Mailing address
1010 Ranch Rd. 630 S
Suite 108
Lakeway, TX 78738
Phone (512) 502-4556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 4, 2014 through Feb 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1346395613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 RANCH RD. 630 S",
"address_2": "SUITE 108",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "78738",
"telephone_number": "512-502-4556",
"fax_number": "512-263-9975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6502 NURSERY DR.",
"address_2": "SUITE 100",
"city": "VICTORIA",
"state": "TX",
"postal_code": "77904",
"telephone_number": "361-575-0611",
"fax_number": "512-263-9975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIANE",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "TX",
"license": "L8863",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "TX",
"license": "L8863",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L8863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.