Ann Mai Tram Nguyen

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

13385944-4405 Issued in UT

Practice address

4866 W Upper Bend Dr
Herriman, UT 84096-2073

Phone

(385) 255-6426

NPI assigned

Jul 30, 2026

Last updated

Oct 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793059200000",
    "number": "1386567279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4866 W UPPER BEND DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840962073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4866 W UPPER BEND DR",
            "city": "HERRIMAN",
            "state": "UT",
            "postal_code": "840962073",
            "telephone_number": "385-255-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANN",
        "middle_name": "MAI TRAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "13385944-4405",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "UT",
            "license": "13385944-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jainer Jose Munoz Valbuena, SA-C
• Elizabeth Ann Mutcheson, RN, IBCLC
• Skylee Simmons Neff, M.S. CCC-SLP
• Megan Nelson, CCC-SLP
• Melissa Nelson
• Nicole Nielsen
• Heidi Kiersten Niitsuma, RBT
• Jed C. Nordfelt, D.M.D.
• Cassidy L Nordhoff, CMHC
• Mylinda Nunes, RN, IBCLC

• Gerontology Nurse Practitioner in Herriman, UT
• Providers in Herriman, UT by specialty
• Gerontology Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.