Individual provider Active NPI

Thiennga Nguyen, DNP

  • Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1427601004
Registry record updated Dec 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
227053 Issued in AZ
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

Updated by the provider on Dec 7, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191218001468 AZ Practitioner - Nurse Practitioner 2163856501 Reassigns benefits to 1 organization

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
Allied Internal Medicine PLLCGroup PAC ID 7315251964, 24 clinicians

Practice addresses (Care Compare)

5121 E Broadway Rd
Mesa, AZ 85206-1308
Phone (480) 832-5555

Hospital & facility affiliations

  • Citadel Post Acute Nursing home, Mesa, AZ, CCN 035103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Internal Medicine PLLC CurrentSince Dec 1, 2019 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.

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

Verify at the official NPI Registry.