Active NPI
Thiennga Nguyen, DNP
- Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 227053
- Practice address
- 6461 E Baywood Ave
Mesa, AZ 85206-1744 - Phone
- (480) 832-5160
- NPI assigned
- Jul 22, 2019
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 227053 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | 227053 | AZ | |
| Gerontology Nurse Practitioner | 363LG0600X | 227053 | AZ | |
| Nurse Practitioner | 363L00000X | 227053 | AZ | Primary |
Addresses
Primary practice location
6461 E Baywood Ave
Mesa, AZ 85206-1744
Mailing address
PO Box 39334
Phoenix, AZ 85069-9334
Phone (602) 424-7967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5121 E Broadway Rd
Mesa, AZ 85206-1308
Phone (480) 832-5555
Hospital & facility affiliations
- Citadel Post Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Internal Medicine PLLC | Current | Accepting new patients | |
| Higley Healthcare, Inc. | Past | Accepting new patients |
Locations
2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700
5121 E Broadway Rd
Mesa, AZ 85206
Phone (480) 296-2680
6461 E Baywood Ave
Mesa, AZ 85206
Phone (480) 832-1744
215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711
51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333
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.
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1124408232
-
- Skilled Nursing Facility
- Mesa, AZ
- NPI 1568842854
Hospital & facility affiliations 1
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": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575676800000",
"number": "1427601004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39334",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850699334",
"telephone_number": "602-424-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6461 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061744",
"telephone_number": "480-832-5160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIENNGA",
"credential": "DNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-12-07",
"certification_date": "2019-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "227053",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "227053",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AZ",
"license": "227053",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "227053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2019; 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.