Individual provider Active NPI

Kim Nguyen, FNP-BC

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1508540642
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
228079 Issued in AZ
Practice address
3244 S Mill Ave Ste 101
Tempe, AZ 85282-3688
Phone
(480) 214-0621
NPI assigned
Jun 9, 2023
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 228079 AZ Primary

Addresses

Primary practice location

3244 S Mill Ave Ste 101
Tempe, AZ 85282-3688

Mailing address

3244 S Mill Ave Ste 101
Tempe, AZ 85282-3688
Phone (480) 214-0621

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
I20231127002880 AZ Practitioner - Nurse Practitioner 9436507712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Urgent Care LLCGroup PAC ID 0345130266, 103 clinicians

Practice addresses (Care Compare)

12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082

1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080

17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403

24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700

3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444

3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cigna Healthcare of Arizona, Inc. CurrentSince Aug 16, 2023 Accepting new patients
Cigna Health Care of Arizona Inc Current Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 1, 2024 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 1, 2024 Accepting new patients
Cigna Healthcare of Az CurrentSince Aug 16, 2023 Accepting new patients

Locations

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

1840 S Stapley Dr
Ste 101
Mesa, AZ 85204
Phone (480) 464-8500

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

Interoperability endpoints

  • Direct secure messaging: knguyen191857@direct.honorhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1508540642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3244 S MILL AVE STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823688",
            "telephone_number": "480-214-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 S MILL AVE STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852823688",
            "telephone_number": "480-214-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "228079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.