Jimmy Thi Phu, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

664284 Issued in TX

Practice address

228 Tipperary Dr
Keller, TX 76248-2536

Phone

(817) 988-8518

Fax

(817) 753-6171

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Allied Surgical Assistants, Inc.

  • Registered Nurse
  • Keller, TX
  • NPI 1487802310
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1396814208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762441232",
            "telephone_number": "817-988-8518",
            "fax_number": "817-753-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 TIPPERARY DR",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482536",
            "telephone_number": "817-988-8518",
            "fax_number": "817-753-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHU",
        "first_name": "JIMMY",
        "middle_name": "THI",
        "name_prefix": "Mr.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "664284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Training by Drue Inc
• Marilyn Martin Petro, WHNP-RX AUTH
• Ashley Mai Pham, R.PH
• Phoenix ABA Services
• Phu H. Le, D.D.S., P.a.
• Ava Leigh Pickard, LCSW
• Pickett Family Dental PLLC
• Tyson K Pickett, D.D.S
• Jorge Piedra, PHARMD.
• Heather Pinkston, CSC, LPC-ASSOCIATE

• Registered Nurse First Assistant in Keller, TX
• Providers in Keller, TX by specialty
• Registered Nurse First Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.