Individual provider Active NPI

Teresa Thien Ca Nguyentran, R.N., N.P.

  • Adult Health Nurse Practitioner
  • Cleveland, OH
National Provider Identifier
1497029342
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
305884 Issued in NY
Practice address
10201 Carnegie Ave
Cleveland, OH 44106-2130
Phone
(866) 223-8100
NPI assigned
Feb 23, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 572168 NY
Adult Health Nurse Practitioner 363LA2200X 305884 NY Primary

Addresses

Primary practice location

10201 Carnegie Ave
Cleveland, OH 44106-2130

Mailing address

7902 Lawn Ave
Cleveland, OH 44102-4174
Phone (808) 741-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171213000181 NY Practitioner - Nurse Practitioner 9638437064 Reassigns benefits to 1 organization
I20230127002569 OH Practitioner - Nurse Practitioner 9638437064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
572168NYMDRegistered Nurse
305884NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Oct 20, 2022 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Oct 18, 2017 Accepting new patients
Memorial Hematology Lymphoma Group CurrentSince Oct 18, 2017 Accepting new patients

Locations

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

10201 Carnegie Ave
Cleveland, OH 44106
Phone (216) 445-2124

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

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 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": "1329955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1497029342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 LAWN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024174",
            "telephone_number": "808-741-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441062130",
            "telephone_number": "866-223-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYENTRAN",
        "first_name": "TERESA",
        "middle_name": "THIEN CA",
        "credential": "R.N., N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-23",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "572168",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "305884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.