Individual provider Active NPI

Uyen N Nguyen, ARNP, DNP

  • Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1699432666
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61199915 Issued in WA
Practice address
4215 198TH St SW Ste 102
Lynnwood, WA 98036-6738
Phone
(425) 725-9659
NPI assigned
Nov 24, 2021
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60297899 WA
Family Nurse Practitioner 363LF0000X 61199915 WA
Primary Care Nurse Practitioner 363LP2300X AP61199915 WA
Nurse Practitioner 363L00000X AP61199915 WA Primary

Addresses

Primary practice location

4215 198TH St SW Ste 102
Lynnwood, WA 98036-6738

Mailing address

14463 Military Rd S
Tukwila, WA 98168-4255
Phone (425) 725-9659

Other practice location 1

17806 5th Ave NE
Shoreline, WA 98155-3513
Phone (206) 794-2015

Other practice location 2

3815 S Othello St
Seattle, WA 98118-3510
Phone (206) 788-3500

Other practice location 3

14463 Military Rd S
Tukwila, WA 98168-4255
Phone (425) 725-9659

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Swedishmedicalcenter Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20220201000396 WA Practitioner - Nurse Practitioner 8325431109 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61199915WAMDFamily Nurse Practitioner
AP61199915WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sharwin Tafazoli Inc CurrentSince Feb 2, 2026 Accepting new patients
Post Acute Medical PLLC CurrentSince Jan 9, 2025 Accepting new patients
Bastion Health PC Family CurrentSince Nov 1, 2022 Accepting new patients
Jeanne Isaacson, M.D., PC CurrentSince Jul 21, 2024 Accepting new patients
Delta Medical Clinic LLC CurrentSince Feb 11, 2023 Accepting new patients
International Community Health Services Past Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

4215 198th St SW
Ste 102
Lynnwood, WA 98036
Phone (425) 725-9659

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

14463 Military Rd S
Tukwila, WA 98168
Phone (206) 246-8000

Organizations & group practices 6

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": "1637712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1699432666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14463 MILITARY RD S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684255",
            "telephone_number": "425-725-9659",
            "fax_number": "206-231-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 198TH ST SW STE 102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366738",
            "telephone_number": "425-725-9659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17806 5th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981553513",
            "country_code": "US",
            "telephone_number": "206-794-2015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3815 S Othello St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981183510",
            "country_code": "US",
            "telephone_number": "206-788-3500",
            "fax_number": "206-962-3298",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14463 Military Rd S",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981684255",
            "country_code": "US",
            "telephone_number": "425-725-9659",
            "fax_number": "206-231-0597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "UYEN",
        "middle_name": "N",
        "credential": "ARNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-24",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60297899",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "61199915",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61199915",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61199915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Swedishmedicalcenter",
            "affiliation": "N",
            "endpointDescription": "Swedishmedicalcenter",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "swedishhealthcare",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "515 Minor Ave Ste 300",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.