Quynh Tram Nhu Nguyen P.a

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

QUYNH TRAM NHU NGUYEN P.A

Practice address

4050 Island Lakes Dr
Winter Haven, FL 33881-5603

Phone

(469) 274-0323

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Quynh Tram Nhu Nguyen, DPMNPI 1669892402

Title

Podiatrist

Phone

(469) 274-0323

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Quynh Tram Nhu Nguyen, D.P.M.

  • Podiatrist
  • Winter Haven, FL
  • NPI 1669892402
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1578214474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 ISLAND LAKES DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815603",
            "telephone_number": "469-274-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 ISLAND LAKES DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338815603",
            "telephone_number": "469-274-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYNH TRAM NHU NGUYEN P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "QUYNH TRAM",
        "authorized_official_middle_name": "NHU",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "469-274-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.

Verify at the official NPI Registry.