Organization Active NPI

Audiology by Holly Nguyen LLC

  • Hearing and Speech Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1740607472
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
A-245 Issued in NV
Legal business name
AUDIOLOGY BY HOLLY NGUYEN LLC
Practice address
6787 W Tropicana Ave
Suite 249
Las Vegas, NV 89103-4757
Phone
(702) 755-9597
Fax
(702) 933-8688
NPI assigned
Mar 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Mai Ly Thi Holly Nguyen, AU.D.NPI 1336585488
Title
Owner
Phone
(702) 755-9597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X A-245 NV Primary

Addresses

Primary practice location

6787 W Tropicana Ave
Suite 249
Las Vegas, NV 89103-4757

Mailing address

6787 W Tropicana Ave
Suite 249
Las Vegas, NV 89103-4757
Phone (702) 755-9597

Other names 1

  • Audiology by Holly Nguyen LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140728001480 NV Part B Supplier - Clinic/Group Practice 2567688526 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

5130 S Fort Apache Rd
#215430
Las Vegas, NV 89148

6787 W Tropicana Ave
Ste 249
Las Vegas, NV 89103
Phone (702) 609-4886

6767 W Tropicana Ave
Ste 212
Las Vegas, NV 89103
Phone (702) 755-9597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1740607472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE",
            "address_2": "SUITE 249",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034757",
            "telephone_number": "702-755-9597",
            "fax_number": "702-933-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE",
            "address_2": "SUITE 249",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034757",
            "telephone_number": "702-755-9597",
            "fax_number": "702-933-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDIOLOGY BY HOLLY NGUYEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI LY",
        "authorized_official_middle_name": "THI HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-755-9597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NV",
            "license": "A-245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audiology by Holly Nguyen LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.