Individual provider Active NPI

Tiffany Nguyen

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1770377152
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4001 W 15TH St Ste 200
Plano, TX 75093-5855
Phone
(817) 759-7000
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

4001 W 15TH St Ste 200
Plano, TX 75093-5855

Mailing address

4001 W 15TH St Ste 200
Plano, TX 75093-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250809000464 TX Practitioner - Physician Assistant 2163920018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891

6100 Harris Pkwy
Suite 235
Fort Worth, TX 76132-4126
Phone (817) 759-7000

800 W Magnolia Ave
Fort Worth, TX 76104-4611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Consultants PA CurrentSince Jun 2, 2025 Accepting new patients
Oncology Hematology Consultants, PA CurrentSince Jun 2, 2025 Accepting new patients

Locations

800 W Magnolia Ave
Ft Worth, TX 76104
Phone (817) 333-0133

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

7415 Las Colinas Blvd
Irving, TX 75063
Phone (248) 760-3339

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

4001 W 15th St
Ste 200
Plano, TX 75093
Phone (972) 608-2025

907 Foster Ln
Weatherford, TX 76086
Phone (817) 596-0637

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1770377152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935855",
            "telephone_number": "817-759-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.