Active NPI
Diem-Mi Nguyen Tra, PA-C
- Physician Assistant
- Hickory, NC
National Provider Identifier
1720814957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16120
- Practice address
- 2406 Century PL SE
Hickory, NC 28602-4031 - Phone
- (828) 324-9550
- Fax
- (828) 324-4154
- NPI assigned
- Sep 12, 2024
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-16120 | NC | Primary |
Addresses
Primary practice location
2406 Century PL SE
Hickory, NC 28602-4031
Mailing address
PO Box 3710
Hickory, NC 28603-3710
Phone (828) 324-9550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1720814957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3710",
"city": "HICKORY",
"state": "NC",
"postal_code": "286033710",
"telephone_number": "828-324-9550",
"fax_number": "828-324-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2406 CENTURY PL SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024031",
"telephone_number": "828-324-9550",
"fax_number": "828-324-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRA",
"first_name": "DIEM-MI",
"middle_name": "NGUYEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-12",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
- Total Care Services, Inc. (Gentiva Respiratory Services & HME)
- Total Renal Care of North Carolina LLC (Catawba County Dialysis)
- Total Success LLC (Total Success For All)
- George Toth, M.D.
- Nancy J Toy, M.D.
- Melanie M Trado, PA-C
- Travis Glass Counseling PLLC (NeuroGrowth Counseling and Wellness)
- Sydney Coleen Travis, PA-C
- Savannah Maria Tribolet, LCAS-A
- Trina Insook Tridico, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.