Active NPI
Viet H Nguyen, ARNP
- Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30007555
- Practice address
- 3124 S 19TH St
Ste 140
Tacoma, WA 98405-2433 - Phone
- (253) 459-6510
- Fax
- (253) 459-6518
- NPI assigned
- Dec 27, 2006
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007555 | WA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | AP30007555 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30007555 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP30007555 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP30007555 | WA | |
| Women's Health Nurse Practitioner | 363LW0102X | AP30007555 | WA | |
| Acute Care Nurse Practitioner | 363LA2100X | AP30007555 | WA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | AP30007555 | WA | |
| Registered Nurse | 163W00000X | AP30007555 | WA |
Addresses
Primary practice location
3124 S 19TH St
Ste 140
Tacoma, WA 98405-2433
Mailing address
3124 S 19TH St
Ste 140
Tacoma, WA 98405-2433
Phone (253) 459-6510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070321000473 | WA | Practitioner - Nurse Practitioner | 6406959964 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
311 S L St
Tacoma, WA 98405-3720
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770
5314 176TH St E
A
Tacoma, WA 98446-7507
Phone (253) 875-7630
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Multicare Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007555 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Current | Accepting new patients |
| Multicare Health System | Nurse Practitioner | Past | Accepting new patients |
| Razan R Al-Kudsi MD | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
521 S K St
Tacoma, WA 98405
Phone (253) 403-2900
3124 S 19th St
Ste 140
Tacoma, WA 98405
Phone (253) 459-6510
4215 49th Ave NE
Tacoma, WA 98422
Phone (253) 459-7699
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 5
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.
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Nephrology Physician
- Burien, WA
- NPI 1831110782
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1386709384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 S 19TH ST",
"address_2": "STE 140",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052433",
"telephone_number": "253-459-6510",
"fax_number": "253-459-6518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3124 S 19TH ST",
"address_2": "STE 140",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052433",
"telephone_number": "253-459-6510",
"fax_number": "253-459-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "VIET",
"middle_name": "H",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007555",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "WA",
"license": "AP30007555",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "AP30007555",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.