Active NPI
Diana P Nguyen, D.O.
- Pediatrics Physician
- Conroe, TX
National Provider Identifier
1700204823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- R1838
- Practice address
- 404 River Pointe Dr Ste 100
Conroe, TX 77304-2836 - Phone
- (501) 686-5356
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R1838 | TX | Primary |
Addresses
Primary practice location
404 River Pointe Dr Ste 100
Conroe, TX 77304-2836
Mailing address
404 River Pointe Dr Ste 100
Conroe, TX 77304-2836
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150501001142 | AR | Order and Referring Only - Pediatric Medicine | 4880913433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1838 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718064000000",
"number": "1700204823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 RIVER POINTE DR STE 100",
"city": "CONROE",
"state": "TX",
"postal_code": "773042836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 RIVER POINTE DR STE 100",
"city": "CONROE",
"state": "TX",
"postal_code": "773042836",
"telephone_number": "501-686-5356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DIANA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2024-06-11",
"certification_date": "2024-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "R1838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.