Individual provider Active NPI

Thi Huong Nguyen-Phuoc, ND, PT, LAC

  • Naturopath
  • Seattle, WA
National Provider Identifier
1356566129
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
NT60692341 Issued in WA
Practice address
12360 Lake City Way NE Ste 503
Seattle, WA 98125-5452
Phone
(425) 828-4000
Fax
(425) 828-4008
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC60721031 WA
Physical Therapist 225100000X PT1147657 TX
Naturopath 175F00000X NT60692341 WA Primary

Addresses

Primary practice location

12360 Lake City Way NE Ste 503
Seattle, WA 98125-5452

Mailing address

12360 Lake City Way NE Ste 503
Seattle, WA 98125-5452
Phone (425) 828-4000

Other practice location 1

2804 Grand Ave
Suite 300
Everett, WA 98201-3430
Phone (425) 258-4633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC60721031WAMDAcupuncturist
NT60692341WAMDNaturopath
PT1147657TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1356566129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12360 LAKE CITY WAY NE STE 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255452",
            "telephone_number": "425-828-4000",
            "fax_number": "425-828-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12360 LAKE CITY WAY NE STE 503",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255452",
            "telephone_number": "425-828-4000",
            "fax_number": "425-828-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2804 Grand Ave",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982013430",
            "country_code": "US",
            "telephone_number": "425-258-4633",
            "fax_number": "425-258-4644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-PHUOC",
        "first_name": "THI",
        "middle_name": "HUONG",
        "name_prefix": "Dr.",
        "credential": "ND, PT, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60721031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "PT1147657",
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "WA",
            "license": "NT60692341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.