Active NPI
Xuan T Nguyen, REGISTERED DIETITIAN
- Registered Dietitian
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1906 N Aster PL
Broken Arrow, OK 74012-1376 - Phone
- (682) 559-8152
- NPI assigned
- Mar 7, 2020
- Last updated
- Mar 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | OK | Primary |
Addresses
Primary practice location
1906 N Aster PL
Broken Arrow, OK 74012-1376
Mailing address
1906 N Aster PL
Broken Arrow, OK 74012-1376
Phone (682) 559-8152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Assessments LLC | Dietitian, Registered | Current | Accepting new patients |
| Mobile Medical Consultants, PLLC | Past | Accepting new patients |
Locations
3030 N West Expy
Ste 200B
Oklahoma City, OK 73112
Phone (309) 665-0206
2800 Shoreline Dr
Ste 120
Denton, TX 76210
Phone (940) 383-1240
Organizations & group practices 2
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.
-
- Registered Dietitian
- Denton, TX
- NPI 1497027098
Dietitian, Registered, OK
-
dba Itinerant Primary Care
- General Practice Physician
- Dallas, TX
- NPI 1346839859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583539200000",
"number": "1538794813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1906 N ASTER PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121376",
"telephone_number": "682-559-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1906 N ASTER PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121376",
"telephone_number": "682-559-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "XUAN",
"middle_name": "T",
"credential": "REGISTERED DIETITIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-07",
"last_updated": "2020-03-07",
"certification_date": "2020-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.