Active NPI
Le Thao Nguyen, NP
- Family Nurse Practitioner
- Fort Worth, TX
National Provider Identifier
1801212642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 743386
- Practice address
- 2550 River Park PLZ
Suite 110
Fort Worth, TX 76116-0920 - Phone
- (817) 731-1289
- Fax
- (817) 731-1291
- NPI assigned
- Mar 17, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 743386 | TX | Primary |
Addresses
Primary practice location
2550 River Park PLZ
Suite 110
Fort Worth, TX 76116-0920
Mailing address
2550 River Park PLZ
Suite 110
Fort Worth, TX 76116-0920
Phone (817) 731-1289
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
Enrollment records 1
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
Practice addresses (Care Compare)
2550 River Park PLZ
Suite 110
Fort Worth, TX 76116-0921
Phone (817) 731-1289
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quang Trong Le DO PA | Family | Current | Accepting new patients |
| Physician Psych Services PLLC | Past | Accepting new patients |
Locations
2550 River Park Plz
Ste 110
Ft Worth, TX 76116
Phone (817) 731-1289
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.
-
- Geriatric Psychiatry Physician
- Hurst, TX
- NPI 1811818511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1801212642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 RIVER PARK PLZ",
"address_2": "SUITE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761160920",
"telephone_number": "817-731-1289",
"fax_number": "817-731-1291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 RIVER PARK PLZ",
"address_2": "SUITE 110",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761160920",
"telephone_number": "817-731-1289",
"fax_number": "817-731-1291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LE THAO",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-17",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "743386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.