Kristina Thanh Ngo

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

R 225884-7 Issued in MN

Practice address

17673 Fair Isle Path
Farmington, MN 55024-8855

Phone

(612) 670-2909

NPI assigned

Mar 10, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1588057939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17673 FAIR ISLE PATH",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17673 FAIR ISLE PATH",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248855",
            "telephone_number": "612-670-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18230 Kerrville Trl",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550447295",
            "country_code": "US",
            "telephone_number": "612-670-2909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5849 193rd St W",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MN",
            "postal_code": "550247100",
            "country_code": "US",
            "telephone_number": "612-670-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "KRISTINA",
        "middle_name": "THANH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "R 225884-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameel Mohamed
• Destin M Morales
• Mutebi Enterprises
• Rachel Ann Navarro, MS OT
• Nexgen Orthotics LLC
• Northfield Hospital
• Northfield Hospital
• Richard H. Nye
• Samantha Oberg, D.C.
• Ocel Builders, Inc.

• Home Health Registered Nurse in Farmington, MN
• Providers in Farmington, MN by specialty
• Home Health Registered Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.