Individual provider Active NPI

Diem Minh Nguyen

  • Primary Care Nurse Practitioner
  • Missouri City, TX
National Provider Identifier
1497330377
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1013530 Issued in TX
Practice address
2837 Dulles Ave
Missouri City, TX 77459-2950
Phone
(281) 688-4888
Fax
(281) 208-7353
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1013530 TX Primary

Addresses

Primary practice location

2837 Dulles Ave
Missouri City, TX 77459-2950

Mailing address

2837 Dulles Ave
Missouri City, TX 77459-2950
Phone (281) 688-4888

Other practice location 1

5225 Katy Fwy Ste 150
Houston, TX 77007-2265
Phone (713) 222-6374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1013530TXMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1497330377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 DULLES AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592950",
            "telephone_number": "281-688-4888",
            "fax_number": "281-208-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 DULLES AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592950",
            "telephone_number": "281-688-4888",
            "fax_number": "281-208-7353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Katy Fwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770072265",
            "country_code": "US",
            "telephone_number": "713-222-6374",
            "fax_number": "713-691-4687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEM",
        "middle_name": "MINH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1013530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.