Sara Phuong Nguyen, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

60380124 Issued in WA

Practice address

18420 Aurora Ave N
Shoreline, WA 98133-4416

Phone

(206) 542-2678

NPI assigned

Oct 27, 2021

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1598429342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 HUNTER LN",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18420 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334416",
            "telephone_number": "206-542-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SARA",
        "middle_name": "PHUONG",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "WA",
            "license": "60380124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Ngo, MSW, LSWAIC
• Nguyen Ngo
• Charlene Nguyen
• Dong Uyen Nguyen
• Mai Nguyen, LPN
• David J Nibley
• Jennifer Ann Nichols, OTA
• John E. Nimlos, M.D.
• Niaja Nolan
• Andrea Nollau

• General Practice Registered Nurse in Shoreline, WA
• Providers in Shoreline, WA by specialty
• General Practice Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.