Anne Merielle Ebol Nguyen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95014018 Issued in CA

Practice address

14330 Culver Dr
Irvine, CA 92604-0303

Phone

(949) 559-8129

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1619503042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 CULVER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040303",
            "telephone_number": "949-559-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 CULVER DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926040303",
            "telephone_number": "949-559-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANNE MERIELLE",
        "middle_name": "EBOL",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95014018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• An Nguyen
• Andrea Nguyen, PA-C
• Anh Hung Nguyen, MD
• Ann Nguyen
• Ann Nguyen
• Anthony Nguyen
• Anthony Nguyen, PHARM.D.
• Bao Nguyen, PHARMD
• Brandon Hien Duc Huynh Nguyen, D.C.
• Bricia Nguyen

• Family Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.