Individual provider Active NPI

Thy M Nguyen, DO

  • Obstetrics & Gynecology Physician
  • Henderson, NV
National Provider Identifier
1487217444
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO3378 Issued in NV
Practice address
3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193
Phone
(702) 478-5111
Fax
(702) 602-9012
NPI assigned
Apr 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO3378 NV Primary

Addresses

Primary practice location

3039 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-4193

Mailing address

10624 S Eastern Ave Ste a
PMB 873
Henderson, NV 89052-2983
Phone (702) 478-5111

Other names 1

  • Krisla Thy Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911001426 NV Practitioner - Obstetrics/Gynecology 0345604393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of North Texas HSC, College of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freeman and Falcone PLLCGroup PAC ID 8325436017, 5 clinicians

Practice addresses (Care Compare)

3039 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-4193
Phone (702) 478-5111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman and Falcone PLLC Obstetrics & Gynecology CurrentSince Aug 1, 2023 Accepting new patients
Henderson Hospital Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

3039 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 478-5111

10624 S Eastern Ave
Ste A
Henderson, NV 89052
Phone (702) 480-1544

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 3

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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1487217444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A",
            "address_2": "PMB 873",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522983",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524193",
            "telephone_number": "702-478-5111",
            "fax_number": "702-602-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THY",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "DO3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISLA",
            "last_name": "NGUYEN",
            "middle_name": "THY",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.