Individual provider Active NPI

Katrina Tram Nguyen

  • Family Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1639931934
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
839824 Issued in NV
Practice address
2598 Windmill Pkwy Ste 110
Henderson, NV 89074-5476
Phone
(702) 933-5544
NPI assigned
Jan 23, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 839824 NV Primary

Addresses

Primary practice location

2598 Windmill Pkwy Ste 110
Henderson, NV 89074-5476

Mailing address

1552 W Warm Springs Rd Ste 100
Henderson, NV 89014-4328
Phone (702) 933-5544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240409000092 NV Practitioner - Nurse Practitioner 8325486541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Robert Toledo DO LTDGroup PAC ID 6406859156, 4 clinicians

Practice addresses (Care Compare)

2598 Windmill Pkwy
Suite 110
Henderson, NV 89074-5476
Phone (702) 933-5544

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Toledo DO LTD CurrentSince Feb 16, 2024 Accepting new patients
Dignity Health PastSince Feb 16, 2024 Accepting new patients

Locations

1552 W Warm Springs Rd
Ste 100
Henderson, NV 89014
Phone (702) 515-9917

2598 Windmill Pkwy
Ste 110
Henderson, NV 89074
Phone (702) 933-5544

Organizations & group practices 2

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": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1639931934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 W WARM SPRINGS RD STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890144328",
            "telephone_number": "702-933-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 WINDMILL PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890745476",
            "telephone_number": "702-933-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KATRINA",
        "middle_name": "TRAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "839824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.