Kim-Khanh Nguyen, D.OM, L.AC., DIPL.OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U02295 Issued in MD

Practice address

7300 Grace Dr Ste a
Columbia, MD 21044-2473

Phone

(443) 312-9560

NPI assigned

Jan 16, 2016

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)

Not enrolled

State licenses

Practice roles

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.

• Nourishing Life Wellness, LLC

  • Acupuncturist
  • Columbia, MD
  • NPI 1841764057
  NPD (past) Authorized official

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

{
    "created_epoch": "1452902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1669839981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 GRACE DR STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442473",
            "telephone_number": "443-312-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 GRACE DR STE A",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442473",
            "telephone_number": "443-312-9560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6935 Laurel Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209124413",
            "country_code": "US",
            "telephone_number": "443-312-9560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM-KHANH",
        "credential": "D.OM, L.AC., DIPL.OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-16",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varoline Ngum
• Angelique Nguyen
• Cam-Van P Nguyen, PHARM.D.
• Kai Hoang Nguyen, D.C.
• Katrina Nguyen
• Leilani Nguyen, LCSW-C
• Linda Nguyen
• Mai CHI Nguyen, M.D.
• Michelle Nguyen, MD
• Nguyenanh Chu, D.D.S., P.C.

• Acupuncturist in Columbia, MD
• Providers in Columbia, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; 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.