Active NPI
Lan Thi Vu, NP
- Women's Health Nurse Practitioner
- Conyers, GA
National Provider Identifier
1730188004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- RN134131 NP
- Practice address
- 2750 Owens Drive
Suite a
Conyers, GA 30094 - Phone
- (678) 413-4644
- Fax
- (678) 413-4624
- NPI assigned
- Jul 19, 2005
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN134131 NP | GA | Primary |
Addresses
Primary practice location
2750 Owens Drive
Suite a
Conyers, GA 30094
Mailing address
2750 Owens Drive
Suite a
Conyers, GA 30094
Phone (678) 413-4644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN134131 NP | GA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295827200000",
"number": "1730188004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 OWENS DRIVE",
"address_2": "SUITE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "30094",
"telephone_number": "678-413-4644",
"fax_number": "678-413-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 OWENS DRIVE",
"address_2": "SUITE A",
"city": "CONYERS",
"state": "GA",
"postal_code": "30094",
"telephone_number": "678-413-4644",
"fax_number": "678-413-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "LAN",
"middle_name": "THI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-19",
"last_updated": "2011-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "RN134131 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; 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.