Active NPI
Stephanie Giang-Tien Nguyen, DO
- Pediatrics Physician
- Fairfax, VA
National Provider Identifier
1366016149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0102208598
- Practice address
- 13135 Route 50 Ste 201
Fairfax, VA 22033-1907 - Phone
- (703) 391-0900
- NPI assigned
- May 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 0102208598 | VA | Primary |
Addresses
Primary practice location
13135 Route 50 Ste 201
Fairfax, VA 22033-1907
Mailing address
86 W Underwood St Ste 202
Orlando, FL 32806-1110
Phone (407) 649-6876
Other practice location 1
51 Pennsylvania St
Orlando, FL 32806-2937
Phone (321) 843-3220
Other practice location 2
92 W Miller St
Orlando, FL 32806-2032
Phone (407) 649-6876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.orlandohealth.com/pediatric-residency |
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102208598 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trusted Doctors LLC | Pediatrics | Past | Accepting new patients |
| Orlando Health Medical Group Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1083793525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1366016149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 W UNDERWOOD ST STE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328061110",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13135 ROUTE 50 STE 201",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220331907",
"telephone_number": "703-391-0900"
}
],
"practiceLocations": [
{
"address_1": "51 Pennsylvania St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062937",
"country_code": "US",
"telephone_number": "321-843-3220",
"fax_number": "321-843-3210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "92 W Miller St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328062032",
"country_code": "US",
"telephone_number": "407-649-6876",
"fax_number": "407-872-0544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "STEPHANIE",
"middle_name": "GIANG-TIEN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-17",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0102208598",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.orlandohealth.com/pediatric-residency",
"affiliation": "N",
"endpointDescription": "Pediatric Residency Program",
"address_1": "92 W Miller St",
"city": "Orlando",
"state": "FL",
"country_code": "US",
"postal_code": "328062032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.