Individual provider Active NPI

Annie So Ngo, FNP

  • Family Nurse Practitioner
  • Lakeway, TX
National Provider Identifier
1578129540
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140183 Issued in TX
Practice address
1008 Ranch Road 620 S Ste 200
Lakeway, TX 78734-5633
Phone
(512) 263-9072
Fax
(512) 402-9057
NPI assigned
May 15, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP140183 TX Primary

Addresses

Primary practice location

1008 Ranch Road 620 S Ste 200
Lakeway, TX 78734-5633

Mailing address

1008 Ranch Road 620 S
Ste 200
Lakeway, TX 78734-5633
Phone (512) 263-9072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190725002258 TX Practitioner - Nurse Practitioner 8022344225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VMD Primary Providers of South Central Texas PLLCGroup PAC ID 7911337472, 27 clinicians

Practice addresses (Care Compare)

3601 W William Cannon Dr
Austin, TX 78749-1533
Phone (512) 252-1505

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers of South Central Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

3601 W William Cannon Dr
Austin, TX 78749
Phone (512) 441-8924

3601 W William Cannon Dr
Ste 4458
Austin, TX 78749

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: annie.ngo.2@13711.direct.athenahealth.com

Organizations & group practices 1

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1578129540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 RANCH ROAD 620 S",
            "address_2": "STE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345633",
            "telephone_number": "512-263-9072",
            "fax_number": "512-402-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 RANCH ROAD 620 S STE 200",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787345633",
            "telephone_number": "512-263-9072",
            "fax_number": "512-402-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "ANNIE",
        "middle_name": "SO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeway, TX

Sources for this page

Verify at the official NPI Registry.