Individual provider Active NPI

Ha Ngan Nguyen, NP

  • Family Nurse Practitioner
  • Bellaire, TX
National Provider Identifier
1790107217
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
768826 Issued in TX
Practice address
4710 Bellaire Blvd Ste 340
Bellaire, TX 77401-4530
Phone
(713) 860-1755
Fax
(713) 277-7219
NPI assigned
Jan 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 768826 TX Primary

Addresses

Primary practice location

4710 Bellaire Blvd Ste 340
Bellaire, TX 77401-4530

Mailing address

4710 Bellaire Blvd Ste 340
Bellaire, TX 77401-4530

Other practice location 1

6700 West Loop S
Suite 500
Bellaire, TX 77401-4104
Phone (713) 892-5500

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
I20140410002030 TX Practitioner - Nurse Practitioner 2466684121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Infusions LLCGroup PAC ID 6608054044, 102 clinicians

Practice addresses (Care Compare)

21927 Clay Rd
Suite 900
Katy, TX 77449-0816
Phone (832) 709-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jan 19, 2014 Accepting new patients
Innovative Infusions, LLC CurrentSince May 26, 2017 Accepting new patients
Innovative Infusions, LLC CurrentSince May 26, 2017 Accepting new patients
Ut Physicians CurrentSince Jan 19, 2014 Accepting new patients

Locations

200 N Mesquite St
Ste 115
Arlington, TX 76011
Phone (817) 200-2530

720 W 34th St
Ste 104
Austin, TX 78705
Phone (512) 261-4800

4710 Bellaire Blvd
Ste 340
Bellaire, TX 77401
Phone (713) 860-1755

6700 West Loop S
Ste 500
Bellaire, TX 77401
Phone (713) 791-9966

11317 N Central Expy
Ste 100
Dallas, TX 75243
Phone (972) 408-2777

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

21927 Clay Rd
Ste 900
Katy, TX 77449
Phone (832) 709-1064

1922 Dry Creek Way
Ste 134
San Antonio, TX 78259
Phone (210) 485-3700

Organizations & group practices 4

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": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1790107217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 340",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014530",
            "fax_number": "713-277-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 BELLAIRE BLVD STE 340",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014530",
            "telephone_number": "713-860-1755",
            "fax_number": "713-277-7219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6700 West Loop S",
            "address_2": "Suite 500",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014104",
            "country_code": "US",
            "telephone_number": "713-892-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HA",
        "middle_name": "NGAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "768826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.