Individual provider Active NPI

Phuong Xuan Nguyen, DNP, FNP-BC

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1598588642
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024191838 Issued in VA
Practice address
6009 Walhaven Dr
Alexandria, VA 22310-2621
Phone
(805) 539-9734
NPI assigned
Nov 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1045369 DC
Registered Nurse 163W00000X 0001287321 VA
Family Nurse Practitioner 363LF0000X 0024191838 VA Primary

Addresses

Primary practice location

6009 Walhaven Dr
Alexandria, VA 22310-2621

Mailing address

6009 Walhaven Dr
Alexandria, VA 22310-2621
Phone (805) 539-9734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250314000586 DC Practitioner - Nurse Practitioner 5597287979 Reassigns benefits to 1 organization
I20250424003527 MD Practitioner - Nurse Practitioner 5597287979 Reassigns benefits to 1 organization
I20250520005021 VA Practitioner - Nurse Practitioner 5597287979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Care Team LLCGroup PAC ID 5092171876, 4 clinicians

Practice addresses (Care Compare)

10440 Little Patuxent Pkwy
Suite 300
Columbia, MD 21044-3648
Phone (888) 402-0202

609 H St NE
FL 4
Washington, DC 20002-7184
Phone (888) 402-0202

919 E Main St
Suite 1000
Richmond, VA 23219-4623
Phone (888) 402-0202

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1045369DCMDRegistered Nurse
0001287321VAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
United Care Team LLC CurrentSince Mar 7, 2025 Accepting new patients

Locations

609 H St NE
Fl 4
Washington, DC 20002
Phone (202) 800-3121

10440 Little Patuxent Pkwy
Ste 300
Columbia, MD 21044
Phone (240) 203-4457

10440 Little Patuxent Pkwy
Rm 304
Columbia, MD 21044

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

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": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1598588642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 WALHAVEN DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102621",
            "telephone_number": "805-539-9734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 WALHAVEN DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102621",
            "telephone_number": "805-539-9734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "XUAN",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1045369",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001287321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024191838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.