Taewon Nadine Phanglyn

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304940 Issued in NY

Practice address

285 Eastern Pkwy
Apt 9
Brooklyn, NY 11238-6374

Phone

(610) 991-6167

NPI assigned

Mar 4, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1538529433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 EASTERN PARKWAY",
            "address_2": "APT 9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "610-991-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 EASTERN PKWY",
            "address_2": "APT 9",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386374",
            "telephone_number": "610-991-6167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHANGLYN",
        "first_name": "TAEWON",
        "middle_name": "NADINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304940",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Kha Phan, MA
• Patricia Tram Phan, MD
• Sarah Phan, DNP, CPNP-PC
• Vien Thi Xuan Phan, MD
• Kylie Phang
• Evette Phanor, LMSW
• Flambert Phanor
• Marie S Phanor, LPN
• Barbara Phanord
• Chutima Phanpho, PT MA

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.