Individual provider Active NPI

Lynn VI Nguyen, PA

  • Dermatology Physician
  • Frisco, TX
National Provider Identifier
1346746856
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
PA11823 Issued in TX
Practice address
5899 Preston Rd Ste 803
Frisco, TX 75034
Phone
(972) 645-1677
Fax
(214) 618-0963
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X PA11823 TX Primary

Addresses

Primary practice location

5899 Preston Rd Ste 803
Frisco, TX 75034

Mailing address

5899 Preston Rd Ste 803
Frisco, TX 75034-9592
Phone (972) 645-1677

Other practice location 1

5899 Preston Rd Ste 803
Frisco, TX 75034
Phone (972) 645-1677

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
I20190909003933 TX Practitioner - Physician Assistant 0749519262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
JC Edwards School of Medicine, Marshall University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whhwc LLCGroup PAC ID 6002152188, 2 clinicians

Practice addresses (Care Compare)

5899 Preston Rd
Suite 803
Frisco, TX 75034-9592
Phone (972) 645-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wellworx Dermatology PLLC Dermatology PastSince Nov 10, 2024 Accepting new patients
Prestige Dermatology PLLC Dermatology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HECDAD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1346746856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 803",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349592",
            "telephone_number": "972-645-1677",
            "fax_number": "214-618-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 803",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-645-1677",
            "fax_number": "214-618-0963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5899 Preston Rd Ste 803",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "75034",
            "country_code": "US",
            "telephone_number": "972-645-1677",
            "fax_number": "214-618-0963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LYNN",
        "middle_name": "VI",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "PA11823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.