Individual provider Active NPI

Kimberly Thao Nguyen, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1619487907
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135265 Issued in TX
Practice address
9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635
Phone
(214) 557-4111
Fax
(214) 764-7611
NPI assigned
Oct 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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 AP135265 TX Primary

Addresses

Primary practice location

9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635

Mailing address

9441 Lyndon B Johnson Fwy Ste 114
Dallas, TX 75243-4635
Phone (214) 557-4111

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
I20201105000245 TX Practitioner - Nurse Practitioner 2961812805 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Post Acute PLLC CurrentSince Dec 21, 2025 Accepting new patients
Meridian Health Partners PLLC CurrentSince Dec 1, 2025 Accepting new patients
Texas Health Virtual Care CurrentSince Jan 1, 2023 Accepting new patients
Texas Health Virtual Care CurrentSince Jan 1, 2023 Accepting new patients
MCS Dallas Medical, PLLC Past Accepting new patients

Locations

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

10611 Garland Rd
Ste 105
Dallas, TX 75218
Phone (214) 660-9888

8200 Walnut Hill Ln
Fl 9
Dallas, TX 75231
Phone (214) 345-8001

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1619487907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 LYNDON B JOHNSON FWY STE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434635",
            "telephone_number": "214-557-4111",
            "fax_number": "214-764-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LYNDON B JOHNSON FWY STE 114",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434635",
            "telephone_number": "214-557-4111",
            "fax_number": "214-764-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIMBERLY",
        "middle_name": "THAO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.