Kristina M Nguyen, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1258 Issued in NV

Practice address

3835 S Jones Blvd
104
Las Vegas, NV 89103-7125

Phone

(702) 880-4193

Fax

(702) 880-4197

NPI assigned

Mar 9, 2011

Last updated

Jun 29, 2012By the provider in NPPES

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)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340928000000",
    "number": "1669770020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 JORDAN BRYCE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835225",
            "telephone_number": "702-461-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S JONES BLVD",
            "address_2": "104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891037125",
            "telephone_number": "702-880-4193",
            "fax_number": "702-880-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KRISTINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2012-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khoa A Nguyen, R.PH.
• Khoi The Nguyen, PHARM.D / RPH
• Kieu Loan Nguyen, PHD
• Kim Anh Nguyen, D.O.
• Kit Ngoc Nguyen, PHARM.D.
• Lai Van Nguyen
• Lam Nguyen, DO
• Lan Thi Hoang Nguyen, RPH
• Laura Nguyen
• Levya Nhien Nguyen

• Physician Assistant in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.