Individual provider Active NPI

Hong Phung Nguyen, FNP

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1699015040
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP123266 Issued in TX
Practice address
3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017
Phone
(940) 242-4440
Fax
(940) 242-4949
NPI assigned
Feb 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 771286 TX
Primary Care Nurse Practitioner 363LP2300X AP123266 TX
Family Nurse Practitioner 363LF0000X AP123266 TX Primary

Addresses

Primary practice location

3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017

Mailing address

3044 Old Denton Rd Ste 317
Carrollton, TX 75007-5017
Phone (972) 242-4440

Other practice location 1

3751 S I 35 E
Denton, TX 76210-6852
Phone (940) 383-2700

Other identifiers 1

IdentifierTypeStateIssuer
275598YL7BOtherTXMEDICARE - DALLAS

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
I20130426000645 TX Practitioner - Nurse Practitioner 0244476828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP123266TXMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Healthcare PA CurrentSince Feb 12, 2018 Accepting new patients
Primary Health Physicians, PLLC PastSince Aug 24, 2024 Accepting new patients

Locations

3044 Old Denton Rd
Ste 3
Carrollton, TX 75007
Phone (972) 242-4440

3044 Old Denton Rd
Ste 317
Carrollton, TX 75007
Phone (972) 242-3361

909 W Spring Creek Pkwy
Ste 480
Plano, TX 75023
Phone (972) 517-0600

Interoperability endpoints

  • Direct secure messaging: hong.nguyen.2@14940.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1699015040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075017",
            "telephone_number": "972-242-4440",
            "fax_number": "972-242-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 OLD DENTON RD STE 317",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075017",
            "telephone_number": "940-242-4440",
            "fax_number": "940-242-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3751 S I 35 E",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106852",
            "country_code": "US",
            "telephone_number": "940-383-2700",
            "fax_number": "940-383-7640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HONG",
        "middle_name": "PHUNG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "771286",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP123266",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP123266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - DALLAS",
            "identifier": "275598YL7B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.